Abstract
We highlight the use of multimodal imaging to diagnose and report what is, to our knowledge, a novel presentation of bilateral choroidal neovascularization (CNV) and prominent macular choroidal folds (CFs) in a patient with pattern dystrophy. An 81-year-old Caucasian male presented with painless, blurry central vision in both eyes. Color fundus photography, spectral-domain optical coherence tomography (SD-OCT), fluorescein angiography (FA), fundus autofluorescence, and brightness scan ultrasonography supported the diagnosis of pattern dystrophy with bilateral CNV and CF. In the right eye, visually significant CNV worsened post-bevacizumab treatment but responded well to aflibercept. During 4-year follow-up, Snellen visual acuity remained excellent in both eyes at 20/20, including the treatment-naïve left eye. CFs remained markedly stable in both eyes.
Original language | English (US) |
---|---|
Pages (from-to) | 585-593 |
Number of pages | 9 |
Journal | Case Reports in Ophthalmology |
Volume | 12 |
Issue number | 2 |
DOIs | |
State | Published - Jul 1 2021 |
Keywords
- Aflibercept
- Bevacizumab
- Choroidal folds
- Choroidal neovascularization
- Pattern dystrophy
ASJC Scopus subject areas
- Ophthalmology