NDLI: Optical Coherence Tomography Angiography for Detecting Choroidal Neovascularization Secondary to Choroidal Osteoma.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Szelog, Jason T. Bonini Filho, Marco A. Lally, David R. de Carlo, Talisa E. Duker, Jay S.
Abstract	Choroidal osteoma is an ossifying tumor that is found predominantly in the peripapillary and macular areas. It typically affects otherwise healthy females. Vision loss may occur secondary to the development of choroidal neovascularization (CNV). Fluorescein angiography (FA) remains the gold standard for diagnosing CNV; however, the use of optical coherence tomography angiography (OCTA) as an adjunct to FA is growing. In this report, a 16-year-old female with a large, unilateral peripapillary choroidal osteoma presented with blurred vision. Exam revealed scattered intraretinal hemorrhage, but FA was unable to detect CNV overlying the tumor. OCTA detected abnormal flow in the outer retina corresponding to a type 2 CNV. Following intravitreal anti-vascular endothelial growth factor therapy, the CNV regressed, the hemorrhage resolved, and there was less fluid. OCTA may be helpful in detecting CNV noninvasively in eyes in which FA is equivocal, such as those with choroidal osteoma.
File Format	HTM / HTML
ISSN	23258160
Issue Number	1
Volume Number	47
e-ISSN	23258179
Journal	Ophthalmic Surgery, Lasers and Imaging Retina
Language	English
Publisher	Healio
Publisher Date	2016-01-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Discipline Ophthalmology Discipline Surgery Choroid Neoplasms Pathology Choroidal Neovascularization Diagnosis Fluorescein Angiography Osteoma Tomography, Optical Coherence Adolescent Angiogenesis Inhibitors Therapeutic Use Bevacizumab Drug Therapy Etiology Female Humans Intravitreal Injections Vascular Endothelial Growth Factor A Antagonists & Inhibitors Vision Disorders Physiopathology Visual Acuity Physiology Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Ophthalmology Surgery

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