Good Hope Eye Clinic

Peripapillary CNV 

David Kinshuck

This is another type of wet age-related macular degeneration (ARMD). It occurs when the process begins near the optic nerve, whereas normally wet ARMD begins at the fovea.

The CNV (choroidal new vessels) grow near the optic nerve. At first the vision is good, as the fovea is not damaged. (The fovea is needed for sharp vision (reading, television, seeing faces etc).

But sometimes the new vessels later spread towards the fovea, and then vision is reduced. Often the new vessels themselves do not reach the fovea, but they cause leakage and bleeding, and this spreads towards the fovea, damaging the retina and reducing vision. Anti-VEGF treatment is needed.

Unless the new vessels leak or bleed treatment, is not needed. Patients are usually kept under observation. Sometimes the condition dries up by itself, and then patients no longer need regular checkups.

peripapillary CNV; treatment is only needed if the vision is affected

 

Peripapillary CNV; treatment is only needed if the vision is affected by the new vessels growth directly, but more usually by leaking or bleeding from the CNV. This happens when the fovea (yellow spot in this diagram) is affected.

References

Review Eye 2011

Effect of intravitreal ranibizumab in the treatment of peripapillary choroidal neovascularisation.
Hamoudi H, Sørensen TL.
J Ophthalmol. 2011;2011:602729. Epub 2011 Dec 22.

Treatment of peripapillary choroidal neovascularization with intravitreal bevacizumab.
Hoeh AE, Schaal KB, Ach T, Dithmar S.
Eur J Ophthalmol. 2009 Jan-Feb;19(1):163-5.

Peripapillary Neovascular Membrane in a Young Pregnant Woman and Prompt Response to Ranibizumab Injections following Uneventful Delivery.
Anastasilakis K, Symeonidis C, Kaprinis K, Mataftsi A, Tzamalis A, Dimitrakos SA
Case Report Ophthalmol. 2011 Apr 22;2(1):129-33.

Treatment of peripapillary choroidal neovascularization with intravitreal bevacizumab.  Hoeh AE, Schaal KB, Ach T, Dithmar S.
Eur J Ophthalmol. 2009 Jan-Feb;19(1):163-5.

Regression of peripapillary choroidal neovascularization after oscillatory transpupillary thermotherapy and anti-VEGF pharmacotherapy.
Peyman G, Tsipursky M, Gohel P, Conway M
Eur J Ophthalmol. 2011 Mar-Apr;21(2):162-72