PMC10062090_01
Multimodal imaging of the right eye: Initial examination (a) Fundus photograph showed yellow-white crystalline deposits and subretinal hemorrhage. (b) OCT demonstrated a hyperreflective lesion (c and d) FFA revealed a choroidal neovascular membrane. (e) OCTA image revealed a high-flow network corresponding to the hyperreflective lesion detected on the OCT. OCT - Optic coherence tomography; OCTA - Optical coherence tomography angiography; FFA - Fundus fluorescein angiography
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F1
Besides, there was a subretinal hemorrhage in the right eye [Figure 1a]. In addition, OCT showed a hyperreflective lesion compatible with active CNVM in the right eye [Figure 1b]. FFA also demonstrated leakage in the right eye suggestive of active CNVM [Figure 1c and d]. Swept-source optical coherence tomography angiography (SS-OCTA; DRI Triton, Topcon; Tokyo, Japan) revealed a high-flow network corresponding to the hyperreflective lesion detected on the OCT [Figure 1e].
Fundus autofluorescence images of our patient
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F2
Fundus autofluorescence (FAF) image displays confluent-patched areas of hypoautofluorescence surrounded by diffuse speckled autofluorescence in both eyes [Figure 2].
After intravitreal injection of aflibercept OCT reveals scarred CNVM without intra- or subretinal fluid. OCT - Optic coherence tomography; CNVM - Choroidal neovascular membrane
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F3
Fundus examination showed scarred CNVM in the right eye which was confirmed on OCT [Figure 3].