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Case 8-44. Choroidal Neovascularization Secondary to Central Serous Chorioretinopathy

Clinical Summary

A 28-year-old woman had a visual acuity of 20/100 in her left eve associated with a choroidal neovascular mem-

j brane secondary to old central serous chorioretinopathy. Examination (A) showed two separate grey-green membranes located within the macula, and an overlying serous detachment of the neurosensory retina. Staining of the membrane was observed on fluorescein angiography (B>, with moderate lake leakage of dye.

Optical Coherence Tomography

OCT (C) demonstrated thickening of the neurosensory retina above an area of enhanced backscatter signal corresponding to the neovascular membrane. The boundaries of the membrane were well-defined, and the retinal pigment epithelium appeared to be intact just anterior the membrane, A small amount of subretinal fluid was also observed.

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