OCT Angiography Shows CNV in Dry AMD

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What is added by OCT Angiography (OCTA)?

How does OCTA change patient care?

Case History

Fundis Photo

FIGURE 1: Fundus photo shows soft confluent drusen and an irregular, elevated, lesion nasal to the macula

Oct B Scan

FIGURE 2: OCT B-scan showing Sub-RPE hyper-reflective lesion and soft drusen

Choriocapillaris

FIGURE 3: OCTA of the choriocapillaris shows small, lacy CNV 

Clinical Findings 

OCTA Assessment 

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). 

Conclusion 

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. 

Learn More About OCTA in Daily Practice

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PN 300-53968 | Case Study Courtesy of Julie Rodman, OD, MS, FAAO

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