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Optical coherence tomography angiography findings of choroidal neovascularization secondary to laser injury: A case report

Authors
  • Amoroso, Francesca
  • Souied, Eric H.
  • Ansary, Meryem Filali
  • Astroz, Polina
  • Mouallem-Bézière, Alexandra
  • Pedinielli, Alexandre
  • Miere, Alexandra
Type
Published Article
Journal
American Journal of Ophthalmology Case Reports
Publisher
Elsevier
Publication Date
Jun 02, 2020
Volume
19
Identifiers
DOI: 10.1016/j.ajoc.2020.100767
PMID: 32548336
PMCID: PMC7286982
Source
PubMed Central
Keywords
License
Unknown

Abstract

Purpose To report a case of choroidal neovascularization (CNV) secondary to laser injury imaged by optical coherence tomography angiography (OCTA) and treated by intravitreal anti-vascular endothelial growth factor (VEGF). Observations A 14-year-old boy presented with vision loss and central scotoma in the right eye (RE) in the last month, after having stared at the beam of a laser pointer. At presentation, his best-corrected visual acuity (BCVA) in the RE was 20/40 and spectral-domain OCT (SD-OCT) showed an interruption of ellipsoid zone and the presence of an hyperrelfective lesion in subfoveal region. OCTA examination revealed the presence of a high-flow lesion on both outer retina to choriocapillaris (ORCC) and choriocapillaris segmentations. The patient was treated by one anti-VEGF injection: at one month follow-up his BCVA in the RE was 15/20. SD-OCT revealed the complete resolution of hyperreflective lesion and no detectable flow on OCTA. Conclusions and Importance Retinal laser injury may be complicated by CNV. OCTA may non-invasively assess the presence of CNV, as well as treatment-response.

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