Abstract

P 174

Postseptic disseminated chorioretinitis with CNV

Elizabeth Scharfenberg, Petra Meier, Peter Wiedemann
Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Leipzig, Leipzig

Objective
We report the case of a 58-year-old patient who presented with unilateral choroidal neovascularisation and bilateral disseminated chorioretinal atrophic scarring one year after severe urosepsis with Staphylococcus aureus. An otherwise healthy NIDDM patient, he had suffered a recurrent febrile flu-like infection for four weeks which developed into fulminant urosepsis with acute kidney failure, cystitis, pneumonia, ileus, and thrombosis of the great saphenous vein. Three months after systemic stability, the patient noticed blurry vision of the left eye, was diagnosed with disseminated chorioretinitis with active choroidal neovascular activity, and treated in a peripheral ophthalmologic clinic with multiple parabulbous dexamethasone injections during which time the visual acuity decreased from 1.0 to 0.5.
Methods
intravitreal Avastin injection 
Results
Six weeks following an intravitreal Avastin injection in the left eye, the choroidal neovascularisation no longer showed angiographic exsudative activity and stabilization of the visual acuity was attained.
Conclusions
Post-septic chorioretinitis with choroidal neovascular activity showed prompt regression following a single intravitreal Avastin injection.

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