A 41-year-old man receiving oral prednisone therapy for presumed ocular histoplasmosis had a visual acuity of 20/40 in his right eye associated with a juxtafoveal choroidal neovascular membrane. Slit-lamp biomicroscopy (A) showed mild peripapillary atrophy and a punched out chorioretinal scar temporal to the fovea. Fluorescein angiography (B) revealed two contiguous hyperfluorescent areas temporal to the center with the farthest temporal area corresponding to the laser scar The hyperflu orescent region between the scar and fovea demonstrated late leakage consistent with a neo vascular membrane.
A horizontal OCT image (C) demonstrated a focal region of enhanced backscatter within the choroid corresponding to the chorioretinal scar Just nasal to this lesion, the reflective band consisting of the retinal pigment epithelium (RPE) and choriocapillaris was thickened and disrupted consistent with a neo vascular membrane. The retinal layers above the membrane were elevated, and increased retinal thickness in this region was consistent with intraretinal fluid accumulation.
Was this article helpful?