Dilated fundus exam revealed evidence of soft confluent drusen and RPE atrophy bilaterally and an elevated, discolored lesion OS (FIGURE 1)
OCT B-scans confirmed the presence of soft, confluent drusen in both eyes and a sub-RPE hyper-reflective lesion nasal to the fovea with an adjacent pocket of fluid (FIGURE 2)
Angiography® OCTA visualized the choroidal vasculature in more detail and demonstrated a hyper-reflective lacy network originating at the level of the choriocapillaris. Viewing the B-scans alongside the angiograms allowed for outstanding resolution of the membrane, as well as classification and measurement of the lesion (FIGURE 3).
Despite the quiescent nature of this gentleman’s condition for years, OCTA was used to confirm conversion of dry, atrophic macular degeneration to the wet form and allowed for timely referral and management.