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Klin Monbl Augenheilkd. 2010 Apr;227(4):309-11. doi: 10.1055/s-0029-1245221. Epub 2010 Apr 20.

The role of spectral-domain optical coherence tomography in the diagnosis of retinal angiomatous proliferation.

Author information

1
Ophthalmological Center of Terrassière, Geneva, Switzerland. ipetropoulos@cot-ge.ch

Abstract

BACKGROUND:

We present the findings of spectral-domain optical coherence tomography (OCT) in 8 patients with retinal angiomatous proliferation.

HISTORY AND SIGNS:

Eight patients with a known history of age-related macular degeneration presented with a recent decrease of visual acuity in one eye. On fundus examination, all patients showed an elevated macular lesion associated with intra- or subretinal hemorrhage and retinal hard exudates. Fluorescein and indocyanine-green (ICG) angiography, together with spectral-domain OCT (Optopol Copernicus SOCT), were performed.

THERAPY AND OUTCOME:

Fluorescein angiography showed early hyperfluorescence with late leakage in all cases. A serous pigment epithelium detachment was present in 6 cases. ICG angiography showed a hot spot in the macular area. The OCT showed a serous pigment epithelium detachment in 6 cases and intraretinal cysts in all cases. The line crossing the ICG visible hot spot showed a greatly hyperreflective intraretinal lesion located at various depths inside the retina.

CONCLUSIONS:

Spectral-domain OCT is a useful complementary tool to confirm the diagnosis of retinal angiomatous proliferation. Its high resolution and speed enables accurate localization of the angiomatous lesion.

PMID:
20408082
DOI:
10.1055/s-0029-1245221
[Indexed for MEDLINE]

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