Case Report: Perifoveal exudative vascular anomalous complex with secondary fundus hemorrhage - Summary - MDSpire

Case Report: Perifoveal exudative vascular anomalous complex with secondary fundus hemorrhage

  • By

  • Ziqing Liu

  • Xiaoyan Zhang

  • Xiujuan Du

  • Chunhuan Niu

  • Fang Sha

  • Bo Wen

  • Yane Gao

  • Ying Wen

  • June 4, 2026

  • 0 min

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Objective:

To highlight a rare case of perifoveal exudative vascular anomalous complex (PEVAC) with secondary fundus hemorrhage, emphasizing its clinical significance.

Key Findings:
  • PEVAC can lead to rupture and hemorrhage of secondary lesions, necessitating prompt intervention.
  • Intravitreal anti-VEGF treatment resulted in significant visual acuity improvement, highlighting its effectiveness.
  • The menstrual cycle may influence disease progression, though the relationship is unclear and warrants further investigation.
Interpretation:

The case illustrates the potential complications of PEVAC and the effectiveness of anti-VEGF therapy in managing visual impairment, suggesting a need for awareness among clinicians.

Limitations:
  • The relationship between the menstrual cycle and disease progression remains unclear, indicating a gap in understanding.
  • The study is based on a single case report, limiting generalizability and highlighting the need for larger studies.
Conclusion:

The case emphasizes the need for awareness of PEVAC and its complications, as well as the potential role of hormonal factors in disease progression, advocating for further research.

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