Retina

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:

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

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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?

References:

 

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.