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Case 8-45* Choroidal Neovascularization

Clinical Summary

A 53-year-old woman had an idiopathic choroidal neovascular membrane in her left eye associated with a visual acuity of counting fingers. Slit-lamp examination (A) showed subretinal fibrosis directly in the fovea. Fluorescein angiography (B) revealed a well-defined focal region of hyperfluorescence just superior to the fovea in the arteriovenous phase which increased in intensity during later phases of the angiogram.

Optical Coherence Tomography

OCT (C) demonstrated a focal thickening of the reflective layer corresponding to the pigment epithelium and choriocapillaris consistent with the neovascularization observed clinically. There appeared to be no significant retinal thickening or intraretinal fluid accumulation.

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