Macular Choroidal Neovascularization in Peripapillary Hyperreflective Ovoid Mass-Like Structures (PHOMS): case report.

PURPOSE: The purpose of this study was to describe a patient with peripapillary hyperreflective ovoid mass-like structures (PHOMS) associated with macular type 2 choroidal neovascularization.

METHODS

Case report.

RESULTS

A healthy 36-year-old woman presented with vision loss in the right eye over the previous 3 days. An optical coherence tomography (OCT) B-scan of the optic nerve head showed PHOMS, and OCT-angiography of the macular region showed a type 2 choroidal neovascularization. The patient was treated with an intravitreal injection of anti-vascular endothelial growth factor with marked improvement.

CONCLUSION

PHOMS is an OCT finding presently believed to result from axoplasmic stasis due to herniation of the retinal nerve fiber layer at the optic nerve head. Several systemic and ocular findings associated with PHOMS have been commonly described, but macular choroidal neovascularization remains a rare association.