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CASE REPORT
Year : 2011  |  Volume : 4  |  Issue : 3  |  Page : 135-138

Diabetic papillopathy with macular edema treated with intravitreal bevacizumab


1 Department of Ophthalmology, Sultan Qaboos University Hospital, Oman
2 Oman Medical Specialty Board, Oman

Correspondence Address:
Ahmed S Al-Hinai
Sultan Qaboos University Hospital, PO Box 38, Postal Code 123, Muscat
Oman
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-620X.91270

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A 46-year-old diabetic male presented with acute painless visual loss in his left eye (OS). Visual acuity was 6/36 OS with an unremarkable anterior segment examination (OU). Posterior segment showed a swollen left optic disc with large diffuse macular edema and moderate nonproliferative diabetic retinopathy (NPDR). The right eye fundus showed only mild NPDR. Optical coherence tomography and fundus fluorescein angiography were performed which revealed left macular edema and a hyperfluorescent left optic disc. Computerized tomography scan orbit and brain was normal. The patient received an intravitreal bevacizumab injection OS followed by focal laser photocoagulation 1 month later. His optic disc swelling and the macular edema subsided rapidly after the injection and his visual acuity improved to 6/6 with disc pallor.


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