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Case 43

Patient Presentation: A 28-year-old female with no past ocular history presented to emergency clinic with decreased vision OD. Her visual acuity was 20/25 OD and 20/20 OS. Colour vision was 14/14 on Ishihara plates OU. Fundus photos and OCT macula OD is shown below:

Retina 43-1.png
Retina 43-2.png

Question: What pathology is seen in the OCT macula above?

Retina 43-4.png

Question: An intravenous fluorescein angiography (IVFA) was conducted and demonstrated hyper-fluorescence that increases both in size and intensity in the late phase. What is the most likely diagnosis?



1. Jutley G, Jutley G, Tah V, Lindfield D, Menon G. Treating peripapillary choroidal neovascular membranes: a review of the evidence. Eye (Lond) 2011;25(6):675-81.

2. SR Singh, AT Fung, S Fraser-Bell, et al. One-Year Outcomes of Anti-Vascular Endothelial Growth Factor Therapy in Peripapillary Choroidal Neovascularisation. Br J Ophthalmol 2019;EPub Ahead of Print.

Learning Objectives:

1. To recognize clinical signs and treatment of peripaillary CNVM.

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