European journal of ophthalmology · 2023
Role of multimodal imaging in coexistent pachychoroid spectrum disease.
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Sweta Shubhra, Sagar Pradeep, Biswal Suchitra, Hn Ravishankar, Ps Parvathy
Аннотация
PURPOSE: To describe the role of multimodal imaging in a case of coexisting pachychoroid diseases.
CASE DESCRIPTION: We report a case of a 43 year old lady with coexistent central serous chorioretinopathy (CSC) and pachychoroid neovasculopathy (PNV) in the same eye which posed a diagnostic challenge. Fundus examination showed neurosensory detachment (NSD) at the macula along with retinal pigment epithelial alterations. Optical coherence tomography (OCT) showed a shallow pigment epithelial detachment and OCT angiography showed the presence of vascular network in outer retina choriocapillaris slab suggesting a diagnosis of PNV. However, fundus fluorescein angiography (FFA) showed a smoke stack leak adjacent to the site of vascular network. Focal laser photocoagulation of the leaky point resulted in resolution of NSD pointing towards a diagnosis of CSC.
CONCLUSION: This case emphasises the role of multimodal imaging in identifying the source of leak in coexistent pachychoroid spectrum diseases.
CASE DESCRIPTION: We report a case of a 43 year old lady with coexistent central serous chorioretinopathy (CSC) and pachychoroid neovasculopathy (PNV) in the same eye which posed a diagnostic challenge. Fundus examination showed neurosensory detachment (NSD) at the macula along with retinal pigment epithelial alterations. Optical coherence tomography (OCT) showed a shallow pigment epithelial detachment and OCT angiography showed the presence of vascular network in outer retina choriocapillaris slab suggesting a diagnosis of PNV. However, fundus fluorescein angiography (FFA) showed a smoke stack leak adjacent to the site of vascular network. Focal laser photocoagulation of the leaky point resulted in resolution of NSD pointing towards a diagnosis of CSC.
CONCLUSION: This case emphasises the role of multimodal imaging in identifying the source of leak in coexistent pachychoroid spectrum diseases.