Fig. 22

FIG 22. The association of ICGA-guided PDT for the occlusive therapy of polyps and intravitreous ranibizumab is effective in prolonging the recurrence-free interval, as well as in maintaining good visual acuity. Patient with a single juxtapapillary polyp associated to a large PED at macular level. Three PDT sessions are performed (A, B and C), without resolution of the condition. Indeed, worsening is noted, with the appearance of neurosensory detachment of the fovea (C). At the time where the polyp is not visualized by ICGA, and since the PED persists, three intravitreous injections of ranibizumab are administered, followed by resolution of the condition (E). The patient remained stable, with a visual acuity of 20/20 until month 36 of follow-up.