RAP

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RAP

• Retinal angiomatous proliferation

Edi Ladavac
General Hospital Pula
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AMD
Drusen
Atrophic type
Exudative form
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Exudative AMD

• CNV
• Disciform scar
• Choroidal-retinal anastomosis

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Exudative AMD CNV
? ? ?
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Exudative AMD

• Yannuzzi (2001)
• choroidal neovascularisation (CNV)
• retinal angiomatous proliferation (RAP)
• polypoidal choroidal neovascularisation

NEW !
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RAP

• White patients
• bilateral
• Dg. FAG ICGA OCT
• therapy

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RAP clinical picture

• Stage I - IRN (intraretinal
  neovascularisation)
• Stage II - SRN (subretinal neovascularisation)
• Stage III - CNV (choriodal neovascularisation)

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RAP stage I

• Intraretinal angiomatous proliferation
• RRA (retinal-retinal anastomosis)
• Hemorrhages

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RAP stage II

• retinal elevation
• reaction of the RPEa
• PED

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RAP stage III

• Choroidal neovascularisation (CNV)
• Retinal-choroidal anastomosis (RCA)

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RAP- diagnosis

• Biomicroscopic examination
• FAG
• ICGA
• OCT

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RAP case report

• Small hemorrhages

Case II
Case I
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RAP case report

• Feeding arteriole (dilated vessels)

Case II
Case I
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RAP - case report

• Retinal oedema
• PED

Case II
Case I
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RAP case report

• ICG angiography

Case II
Case I
Trieste Padova 2004
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RAP - therapy

1. PDT triamcinolone intravitreal
2. VEGF inhibitors (Macugen) intravitreal
3. Macular surgery
4. Laser

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RAP - therapy

• Triamcinolone PDT

Before th
After th
OCT
OCT
Trieste - 2004
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RAP - conclusion

• CNV
• AMD RAP
• PCN

Exudative form
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