Purpose: To report a case of juxtapapillary polypoidal choroidal neovascularization (PCNV) associated with choroidal nevus investigated by means of optical coherence tomography angiography (OCT-A). Methods: Case report. Results: A 72-year-old woman presented with visual loss and metamorphopsia in her left eye for 5 days secondary to PCNV that developed on the border of a juxtapapillary choroidal nevus. Fluorescein angiography, indocyanine green angiography, and spectral-domain OCT confirmed the diagnosis. En face OCT-A disclosed a large tangled hyperreflective PCNV spreading from the optic disc at different levels of the choriocapillaris; the polyp lumina appeared hyporeflective. The patient was treated with 3 intravitreal injections of anti-vascular endothelial growth factor with partial functional recovery. Conclusions: Our case showed the application of OCT-A in the diagnosis of a case of active PCNV complicating a benign intraocular tumor.
Optical coherence tomography angiography of polypoidal neovascularization associated with choroidal nevus / Cicinelli, M. V.; Iuliano, L.; Rabiolo, A.; Marchese, A.; Querques, G.; Bandello, F.. - In: EUROPEAN JOURNAL OF OPHTHALMOLOGY. - ISSN 1120-6721. - 27:1(2017), pp. 9-12-E12. [10.5301/ejo.5000877]
Optical coherence tomography angiography of polypoidal neovascularization associated with choroidal nevus
Querques G.;
2017
Abstract
Purpose: To report a case of juxtapapillary polypoidal choroidal neovascularization (PCNV) associated with choroidal nevus investigated by means of optical coherence tomography angiography (OCT-A). Methods: Case report. Results: A 72-year-old woman presented with visual loss and metamorphopsia in her left eye for 5 days secondary to PCNV that developed on the border of a juxtapapillary choroidal nevus. Fluorescein angiography, indocyanine green angiography, and spectral-domain OCT confirmed the diagnosis. En face OCT-A disclosed a large tangled hyperreflective PCNV spreading from the optic disc at different levels of the choriocapillaris; the polyp lumina appeared hyporeflective. The patient was treated with 3 intravitreal injections of anti-vascular endothelial growth factor with partial functional recovery. Conclusions: Our case showed the application of OCT-A in the diagnosis of a case of active PCNV complicating a benign intraocular tumor.
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