Intravitreal faricimab treatment for traumatic choroidal rupture and macular neovascularization in angioid streaks: A case report.
Riccardo Fasana, Nathalie Skovgaard Eriksen, Enrico Borrelli et al.
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Case in brief
A patient developed visual symptoms after blunt ocular trauma. Examination identified angioid streaks with macular neovascularization (MNV) and a traumatic rupture; family history prompted genetic evaluation, which diagnosed pseudoxanthoma elasticum. The MNV was treated with three intravitreal faricimab injections at four-week intervals. The report describes excellent visual results and no exudative recurrence during the eight months after the final injection.
What made this case unusual
The case combined traumatic rupture and MNV associated with angioid streaks, and reports outcomes with faricimab for these lesions.
Diagnostic / clinical pearl
In a patient with visual symptoms after blunt trauma, examination may reveal angioid streaks with MNV and traumatic rupture; family history can prompt evaluation for an associated systemic condition such as pseudoxanthoma elasticum.