Optical Coherence Tomography Angiography of Polypoidal Neovascularization Associated with Choroidal Nevus. Issue 1 (January 2017)

• Record Type: Journal Article
• Authors: Cicinelli, Maria Vittoria; Iuliano, Lorenzo; Rabiolo, Alessandro; Marchese, Alessandro; Querques, Giuseppe; Bandello, Francesco
• Is Part Of: European journal of ophthalmology. Volume 27:Issue 1(2017)
• Page Start: 9
• Page End: 12
• Publication Date: 2017-01
• Subjects: Aflibercept -- Choroidal neovascularization -- Choroidal nevus -- Polypoidal vasculopathy; Ophthalmology -- Periodicals; Eye -- Diseases -- Periodicals; 617.7005
• DOI: 10.5301/ejo.5000877
• Languages: English
• ISSNs: 1120-6721

Abstract

Purpose: To report a case of juxtapapillary polypoidal choroidal neovascularization (PCNV) associated with choroidal nevus investigated by means of optical coherence tomography angiography (OCT-A). Methods: Case report. Results: A 72-year-old woman presented with visual loss and metamorphopsia in her left eye for 5 days secondary to PCNV that developed on the border of a juxtapapillary choroidal nevus. Fluorescein angiography, indocyanine green angiography, and spectral-domain OCT confirmed the diagnosis. En face OCT-A disclosed a large tangled hyperreflective PCNV spreading from the optic disc at different levels of the choriocapillaris; the polyp lumina appeared hyporeflective. The patient was treated with 3 intravitreal injections of anti-vascular endothelial growth factor with partial functional recovery. Conclusions: Our case showed the application of OCT-A in the diagnosis of a case of active PCNV complicating a benign intraocular tumor.