Diagnosing Choroidal Neovascularization in Asymptomatic Individuals Using Optical Coherence Tomography Angiography

Park, Michael M. MD
Rebhun, Carl B. BA
Cole, Emily D. MD
Louzada, Ricardo N. MD
Novais, Eduardo A. MD
Rifai, Fareed BS
Yasin Alibhai, A. MD
Duker, Jay S. MD
Waheed, Nadia K. MD, MPH

From New England Eye Center and Tufts Medical Center, Tufts University, Boston (MMP, CR, EC, RNL, EAN, FR, AYA, JSD, NKW); Ophthalmic Center Reference (CEROF), Federal University of Goias, Goiania, Brazil (RNL); the Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil (EAN); and University of South Alabama College of Medicine, Mobile, AL (FR).

This work was supported in part by a Macula Vision Research Foundation Grant. Drs. Novais and Louzada are researchers supported by CAPES Foundation, Ministry of Education of Brazil, Brasilia, DF, Brazil.

Dr. Duker is a consultant for and receives research support from Carl Zeiss Meditec, OptoVue, and Topcon Medical Systems. Dr. Waheed is a consultant for Regeneron and Genentech, is on the speakers bureau for Optovue and Nidek, and receives research support from Carl Zeiss Meditec. The remaining authors report no relevant financial disclosures.

Address correspondence to Nadia K. Waheed, MD, MPH, New England Eye Center at Tufts Medical Center, 260 Tremont Street, Biewend Building, 9 – 11th Floor, Boston, MA 02116; email: [email protected].

Received October 31, 2016

Accepted February 08, 2017

Ophthalmic Surgery, Lasers, and Imaging Retina 48(7):p 596-598, July 01, 2017. | DOI: 10.3928/23258160-20170630-13

Optical coherence tomography angiography (OCTA) is a noninvasive, rapid imaging technique that generates angiographic images without intravenous dye injections. Cross-sectional studies have described the presence of asymptomatic choroidal neovascularization (CNV) in patients with intermediate age-related macular degeneration (AMD). This case report describes the OCT features on longitudinal follow-up of a patient who started with unilateral asymptomatic CNV and eventually developed symptomatic exudative AMD.

[Ophthalmic Surg Lasers Imaging Retina. 2017;48:596–598.]