Case Report: Perifoveal exudative vascular anomalous complex with secondary fundus hemorrhage - Takeaways - 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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  • 1

    Perifoveal exudative vascular anomalous complex (PEVAC) is a rare macular disorder characterized by circular aneurysmal lesions around the fovea.

  • 2

    A 44-year-old woman with PEVAC experienced secondary fundus hemorrhage and improved visual acuity after intravitreal anti-VEGF treatment.

  • 3

    Diagnosis of PEVAC was confirmed using fundus fluorescein angiography, indocyanine green angiography, and optical coherence tomography.

  • 4

    The patient's vision fluctuated with her menstrual cycle, suggesting a potential influence of hormonal changes on disease progression.

  • 5

    This case highlights the importance of monitoring PEVAC and the effectiveness of anti-VEGF therapy in managing visual impairment.

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