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Combination photodynamic therapy and juxtascleral triamcinolone acetonide for the treatment of a peripapillary choroidal neovascular membrane associated with papilloedema
  1. A Tewari,
  2. G K Shah,
  3. M S Dhalla,
  4. J B Shepherd
  1. Barnes Retina Institute and Washington University Department of Ophthalmology and Visual Science, St Louis, MO, USA
  1. Correspondence to: Gaurav K Shah MD, Barnes Retina Institute, 1600 S Brentwood, Suite 800, St Louis, MO 63144, USA; gkshah1{at}

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Peripapillary choroidal neovascularisation is an uncommon entity that can be associated with significant visual loss. It has been noted with papilloedema resulting from pseudotumour cerebri.1 Treatment for peripapillary choroidal neovascularisation has involved observation, thermal laser photocoagulation, or surgical excision.2 We report a case of peripapillary choroidal neovascularisation from papilloedema secondary to pseudotumour cerebri that was successfully treated with combination photodynamic therapy and juxtascleral triamcinolone acetonide.

Case report

A 27 year old woman presented to the neuro-ophthalmology clinic for headaches and transient visual obscurations in both eyes. Visual acuity was 20/20 in both eyes and fundus examination was significant for optic nerve oedema in both eyes. After undergoing diagnostic testing, which included visual field analysis, lumbar puncture, and magnetic resonance imaging, a diagnosis of pseudotumour cerebri was firmly established. The patient was started on oral …

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