C. Gómez, L. D. Juan-Marcos, R. Lorenzo-Pérez, Álvaro Casado-Blanco, Vanesa Rivero-Gutiérrez, E. Hernández-Galilea
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CHOROIDAL NEOVASCULARIZATION ASSOCIATED WITH BEST’S DISEASE
Best’s Disease is a macular dystrophy characterized by a lipofuscin accumulation on the retinal pigment epithelium. Five stages have been described based on fundus examination, including choroidal neovascularization. We report a case of a 59-years-old male, presented to the ophthalmologic department with visual loss in both eyes. Fundus examination revealed vitelliform lesions in both maculas. Fluorescein angiography showed a choroidal neovascularization in the left eye. The electrooculogram confirmed the diagnosis of Best's disease. Choroidal neovascularization is a rare complication of Best’s Disease in late stages. The most effective therapeutic options are photodynamic therapy with veteporfirin and antiangiogenic therapy.
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