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Case 8-33. Progression of Choroidal Neovascularization

Clinical Summary

A 67-year-old man noticed a central gray spot in his left visual field for two months prior to examination. He reported enlargement of this spot over the most recent two weeks. His visual acuity in this eye was 20/60, Dilated fundus examination (A) revealed a gray, mildly elevated subretinal lesion with a surrounding hypopigmented halo and minimal subretinal fluid, i luorescein angiography (B) exhibited a well-defined hyperfluorescent lesion centrally which demonstrated leakage in the later phases consistent with sub fovea! neovascularization.

Optical Coherence Tomography

A vertical OC i tomogram iC) through fixation showed a small, well-defined region of fusiform thickening in the reflective band representing the retinal pigment epithelium and choriocapillaris. Reduced intraretinal optical reflectivity and loss of the normal fovea! contour was noted centrally consistent with macular edema.

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