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Case 8-40, Recurrent Choroidal Neovascuiar Membrane

Clinical Summary

An 83-year-old woman with age-related macular degeneration complained of worsening vision over the past several months. She had received laser photocoagulation in her left eye three years earlier for choroidal neovascularization, Slit-lamp examination (A) showed subretinal fibrosis in the central macula with surrounding pigment aggregation consistent with an atrophic laser scar.

Optical Coherence Tomography

A horizontal OCT image (B) acquired through the fovea displayed a thickening and disruption of the reflective band corresponding to the retinal pigment epithelium and choriocapillaris, a configuration characteristic of choroidal neovascularization. The absence of verv enhanced optical reflectivity from this region was evidence against a laser scar A focal, intraretinal region of minimal optical reflectivity was observed consistent with a retinal cyst.

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