Management of Uveitis-Related Choroidal Neovascularization: From the Pathogenesis to the Therapy

Inflammatory choroidal neovascularization is a severe but uncommon complication of uveitis, more frequent in posterior uveitis such as punctate inner choroidopathy, multifocal choroiditis, serpiginous choroiditis, and Vogt-Koyanagi-Harada syndrome. Its pathogenesis is supposed to be similar to the w...

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Main Authors: Enzo D’Ambrosio, Paolo Tortorella, Ludovico Iannetti
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2014/450428
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author Enzo D’Ambrosio
Paolo Tortorella
Ludovico Iannetti
author_facet Enzo D’Ambrosio
Paolo Tortorella
Ludovico Iannetti
author_sort Enzo D’Ambrosio
collection DOAJ
description Inflammatory choroidal neovascularization is a severe but uncommon complication of uveitis, more frequent in posterior uveitis such as punctate inner choroidopathy, multifocal choroiditis, serpiginous choroiditis, and Vogt-Koyanagi-Harada syndrome. Its pathogenesis is supposed to be similar to the wet age related macular degeneration: hypoxia, release of vascular endothelial growth factor, stromal cell derived factor 1-alpha, and other mediators seem to be involved in the uveitis-related choroidal neovascularization. A review on the factors implicated so far in the pathogenesis of inflammatory choroidal neovascularization was performed. Also we reported the success rate of single studies concerning the therapies of choroidal neovascularization secondary to uveitis during the last decade: photodynamic therapy, intravitreal bevacizumab, and intravitreal ranibizumab, besides steroidal and immunosuppressive therapy. Hereby a standardization of the therapeutic approach is proposed.
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institution Kabale University
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spelling doaj-art-2161178fa47c48bbb7fe57fb1846c4812025-02-03T05:57:40ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/450428450428Management of Uveitis-Related Choroidal Neovascularization: From the Pathogenesis to the TherapyEnzo D’Ambrosio0Paolo Tortorella1Ludovico Iannetti2Department of Ophthalmology, “Sapienza” University of Rome, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Ophthalmology, “Sapienza” University of Rome, Viale del Policlinico 155, 00161 Rome, ItalyDepartment of Ophthalmology, “Sapienza” University of Rome, Viale del Policlinico 155, 00161 Rome, ItalyInflammatory choroidal neovascularization is a severe but uncommon complication of uveitis, more frequent in posterior uveitis such as punctate inner choroidopathy, multifocal choroiditis, serpiginous choroiditis, and Vogt-Koyanagi-Harada syndrome. Its pathogenesis is supposed to be similar to the wet age related macular degeneration: hypoxia, release of vascular endothelial growth factor, stromal cell derived factor 1-alpha, and other mediators seem to be involved in the uveitis-related choroidal neovascularization. A review on the factors implicated so far in the pathogenesis of inflammatory choroidal neovascularization was performed. Also we reported the success rate of single studies concerning the therapies of choroidal neovascularization secondary to uveitis during the last decade: photodynamic therapy, intravitreal bevacizumab, and intravitreal ranibizumab, besides steroidal and immunosuppressive therapy. Hereby a standardization of the therapeutic approach is proposed.http://dx.doi.org/10.1155/2014/450428
spellingShingle Enzo D’Ambrosio
Paolo Tortorella
Ludovico Iannetti
Management of Uveitis-Related Choroidal Neovascularization: From the Pathogenesis to the Therapy
Journal of Ophthalmology
title Management of Uveitis-Related Choroidal Neovascularization: From the Pathogenesis to the Therapy
title_full Management of Uveitis-Related Choroidal Neovascularization: From the Pathogenesis to the Therapy
title_fullStr Management of Uveitis-Related Choroidal Neovascularization: From the Pathogenesis to the Therapy
title_full_unstemmed Management of Uveitis-Related Choroidal Neovascularization: From the Pathogenesis to the Therapy
title_short Management of Uveitis-Related Choroidal Neovascularization: From the Pathogenesis to the Therapy
title_sort management of uveitis related choroidal neovascularization from the pathogenesis to the therapy
url http://dx.doi.org/10.1155/2014/450428
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