Maurice F. Rabb » Paramacular Choroidal Neovascular Membrane In POHSs Syndrome

A 38 year old gentleman had suffered choroidal macular hemorrhage in the right eye seven years prior to being seen. Visual acuity had fallen to 20/200 and recovered to 20/25 vision in spite of a submacular organized membrane.

When initially seen in 1971, the patient had three small numullar atrophic choroidal lesions inferior and temporal to the left macular area. Two years later, in 1973, an active choroidal neovascular membrane developed which extended up and beneath the macular area with subsequent reduction of vision to 20/400. Over the next two years, the submacular membrane organized and visual acuity returned to 20/50 distance vision and Jaegar-l reading vision.

The serial color photographs and fluorescein angiograms will be presented to document the progression and natural course of these changes.

This patient has now been followed for four years, and has had bilateral active choroidal neovascular membranes with hemorrhage. In spite of submacular scar formation, visual acuity is 20/25 in the right eye and 20/50 in the left eye.

Included are two color photographs taken in January 1971 and March 1976.