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Optical coherence tomography angiography of polypoidal neovascularization associated with choroidal nevus

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.

Eur J Ophthalmol 2017; 27(1): e9 - e12

Article Type: CASE REPORT

DOI:10.5301/ejo.5000877

Authors

Maria Vittoria Cicinelli, Lorenzo Iuliano, Alessandro Rabiolo, Alessandro Marchese, Giuseppe Querques, Francesco Bandello

Article History

Disclosures

Financial support: F. Bandello: advisory board member: Allergan, Inc.; Novartis Pharmaceuticals Corporation; Farmila-Thea; Bayer Schering Pharma; Pfizer, Inc.; Alcon, Inc.; Bausch and Lomb; Genentech, Inc.; Alimera Sciences, Inc.; Thrombogenics, Inc.
Conflict of interest: None of the authors has conflict of interest with this submission.

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Authors

Affiliations

  • Department of Ophthalmology, IRCCS Ospedale San Raffaele, University Vita-Salute, Milan - Italy

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