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December 2014

Choroidal Neovascularization and Chorioretinal Anastomoses Following Laser Treatment of a Secondary Vasoproliferative Tumor

Author Affiliations
  • 1Department of Surgery, Monash University, Melbourne, Australia
  • 2Centre for Eye Research Australia, University of Melbourne, Australia
  • 3Vitreous Retina Macula Consultants of New York, New York
  • 4LuEsther T. Mertz Retinal Research Center, Manhattan Eye, Ear, and Throat Hospital, New York, New York
  • 5Department of Ophthalmology, New York University School of Medicine, New York
  • 6Department of Ophthalmology, Columbia University, New York, New York
  • 7Ocular Oncology Service, Wills Eye Institute, Thomas Jefferson University, Philadelphia, Pennsylvania
  • 8Department of Ophthalmology, Manhattan Eye, Ear, and Throat Hospital, New York, New York
  • 9now with Hofstra North Shore–LIJ School of Medicine, Hempstead, New York
JAMA Ophthalmol. 2014;132(12):1488-1490. doi:10.1001/jamaophthalmol.2014.3297

Laser photocoagulation–induced choroidal neovascularization (CNV) is an uncommon iatrogenic complication following thermal laser treatment for diabetic macular edema and proliferative diabetic retinopathy.1 Disruption of the retinal pigment epithelium–Bruch membrane complex due to intense laser energy presumably leads to the development of CNV.1,2 We report a dramatic case of laser-induced CNV initially associated with a chorioretinal mass lesion that displayed characteristics of an atypical secondary vasoproliferative tumor. The chorioretinal lesion evolved to anastomose extensively with the retinal vasculature.

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