Case 8-18. Fibrovascular Pigment Epithelial Detachment and Soft Drusen

Clinical Summary

A 71-year-old man with exudative age-related macular degeneration had a visual acuity of 20/60 in his right eye. Dilated fundus examination (A) of this eye showed a mottled pigment epithelial detachment in the central macula. Fluorescein angiography (B) displayed stippled hyperfluorescence consistent with a fibrovascular pigment epithelial detachment. Late leakage was present along the inferior border of the lesion.

Optical Coherence Tomography

A vertical tomogram (C) delineated an elevation of the neurosensory retina and retinal pigment epithelium (RPE) with moderate optical backscatter below the RPE confirming fibrovascular proliferation. The reflective band corresponding to the RPE and choriocapillaris was thickened and fragmented along the inferior border of the lesion consistent with subretinal neovascularization and corresponding to the area of late leakage observed on angiography

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