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Oman J Ophthalmol. 2019 Oct 11;12(3):200-202. doi: 10.4103/ojo.OJO_61_2018. eCollection 2019 Sep-Dec.

A rare case of focal choroidal excavation associated choroidal neovascularization in angioid streaks.

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Department of Vitreoretinal Services, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India.


The purpose is to report a case of focal choroidal excavation (FCE) in a patient with angioid streaks (ASs) associated with secondary choroidal neovascularization (CNV). A 26-year-old man was referred for the treatment of CNV. On further evaluation, he was found to have ASs and optical coherence tomography revealed the presence of the choroidal neovascular complex associated with FCE. The patient was treated with a single dose of intravitreal bevacizumab (1.25 μg/0.05 ml). There was resolution of the lesion, and on further follow-up over 6 months, there were no recurrences. CNV in patients with ASs may also be associated with FCE. These patients have a good response to intravitreal antivascular endothelial growth factor injection.


Angioid streaks; choroidal neovascularization; focal choroidal excavation

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