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OCTA Displays a Neovascular Membrane for Timely Referral to a Retina Specialist

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What is added by OCT Angiography (OCTA)?

How does OCTA change patient care?

CASE HISTORY

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FIGURE 1: Color fundus photo illustrates an elevated disciform lesion

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FIGURE 2: OCT B-scan showing large subretinal hyper-reflective lesion

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FIGURE 3: OCT B-scan showing an epiretinal membrane 

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FIGURE 4: OCTA of the outer retinal slab shows fragmented, filamentous linear vessels

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FIGURE 5: Hypo-intense halo around the lesion is seen on the choriocapillaris slab

CLINICAL FINDINGS

OCTA ASSESSMENT

CONCLUSION

OCTA enabled visualization of a neovascular lesion in the outer retina and choriocapillaris. Combining this information with fundus photography, structural OCT and patient history indicates that the lesion is chronic and inactive in nature, which assists in making management decisions for this patient. Sharing the OCTA images with the patient helped her to understand the seriousness of her condition and the importance of keeping her follow-up appointments.

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PN 300-54165 | Case Study Courtesy of Julie Rodman, OD, MS, FAAO

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