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Jean-Francois Korobelnik, Yona GEISMAR, Marie-Noelle Delyfer, Marie B Rougier; Analysis of Choroidal Neovascularization in myopic eyes using OCT Angiography. Invest. Ophthalmol. Vis. Sci. 2016;57(12):2138.
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© ARVO (1962-2015); The Authors (2016-present)
To analyze the benefit of optical coherence tomography angiography (OCTA) for the diagnosis of myopic choroidal neovascularization (CNV) and discuss the clinical utility of this method as compared to fluorescein angiography
Eleven eyes of 11 consecutive highly myopic patients with suspected diagnosis of CNV underwent retinal imaging with OCTA (Carl Zeiss Meditec®, Dublin, CA) between May 2015 and October 2015. Fluorescein angiography (FA, Spectralis®, Heidelberg Engineering, Germany) was performed to further validate the diagnosis of myopic CNV.
In 9 eyes out of 11 patients, CNV was visualized on OCTA. 2 groups were constituted. In all eyes with CNV, the diagnosis was confirmed using OCTA. In Group 1, 9 patients with myopic CNV either naive or previously were treated with at least 1 intravitreal injection of anti-VEGF. In Group 2, 2 eyes did not show any CNV, either with FA, or with OCT A. In these two patients, final diagnosis was subretinal hemorrhage related to lacquer cracks.
OCT A easily shows the choroidal neovascular network of myopic CNV. Further larger studies are required to confirm our data and state whether FA is still required in this indication.
This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.
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