Search results (9 results)

Feb 24 2023 by Dhaivat Shah

A 58-year-old male patient, a chronic smoker, came to our OPD with complaints of a diminution of vision in the right eye (BCVA: 2/60). On examination, the following findings were observed in the patient. On fundus examination (Image 1a) - Large areas of exudation with multiple superficial and deep hemorrhages at the macula were noted. On SD-OCT imaging (Image 1b) - Multiple intraretinal spaces were seen along with shallow subretinal fluid and hyperreflective dots (indicative of phagocytosed photoreceptors). On the foveal area- a hyperreflective membrane was noted which seemed to dip down and establish a retino-choroidal anastomosis. On OCT-A imaging (Image 1c) - In the ORCC complex, the neovascularization frown, correlating with the membrane complex on the fundus and structural OCT, was visible which was noted to be supplied by small feeder vessels coming from the superior aspect of the fovea. On OCT-A blood flow analysis imaging (Image 1d) - The blood flow analysis showed increased blood flow signals at the level of the membrane (indicative of increased color signal). Based on the findings of the above investigations and clinical examination, the patient was diagnosed with a Case of CNVM Type 3, also described as RAP, and was managed by Anti VEGF injections. This condition usually requires more injections as compared to Type 1 and 2 CNVMs, and the visual prognosis is guarded. Hence, it's very important to counsel the patient before initiating the treatment that the treatment would be long-term and the aim would be preservation of existing vision.

Photographer: Choithram Netralaya, Indore

Condition/keywords: feeder vessel, OCTA, RAP lesion

Jun 10 2020 by Manish Nagpal, MD, FRCS (UK), FASRS

RAP lesion

Photographer: Gayathri Mohan, Retina Foundation

Imaging device: NIDEK SLO MIRANTE

Condition/keywords: RAP lesion

Sep 10 2018 by Gabriela Lopezcarasa Hernandez, MD

75-year-old patient with decrease in visual acuity right eye with metamorphopsia, in the FA and ICG we can see a RAP lesion.

Photographer: Azucena Rios

Imaging device: Heidelberg Spectralis

Condition/keywords: FA mid phase, indocyanine green (ICG) angiography, RAP lesion, retinal angiomatous proliferation (RAP)

Sep 29 2014 by Thomas A. Ciulla, MD, MBA, FASRS

OCT of an 81-year-old man revealing several RAP lesions superior to fovea.

Photographer: Stuart Alfred CRA

Condition/keywords: choroidal neovascular membrane (CNVM), neovascular age-related macular degeneration (AMD), retinal angiomatous proliferation (RAP), wet age-related macular degeneration (wet AMD)

Sep 29 2014 by Thomas A. Ciulla, MD, MBA, FASRS

Late frame fluorescein angiogram of an 81-year-old man revealing several RAP lesions superior to fovea.

Photographer: Stuart Alfred CRA

Condition/keywords: choroidal neovascular membrane (CNVM), neovascular age-related macular degeneration (AMD), retinal angiomatous proliferation (RAP), wet age-related macular degeneration (wet AMD)

Sep 29 2014 by Thomas A. Ciulla, MD, MBA, FASRS

Fluorescein angiogram of an 81-year-old man revealing several RAP lesions superior to fovea.

Photographer: Stuart Alfred CRA

Condition/keywords: choroidal neovascular membrane (CNVM), neovascular age-related macular degeneration (AMD), retinal angiomatous proliferation (RAP), wet age-related macular degeneration (wet AMD)

Sep 29 2014 by Thomas A. Ciulla, MD, MBA, FASRS

Fluorescein angiogram of an 81-year-old man revealing several RAP lesions superior to fovea.

Photographer: Stuart Alfred CRA

Condition/keywords: choroidal neovascular membrane (CNVM), neovascular age-related macular degeneration (AMD), retinal angiomatous proliferation (RAP), wet age-related macular degeneration (wet AMD)

Sep 29 2014 by Thomas A. Ciulla, MD, MBA, FASRS

Fluorescein angiogram of an 81-year-old man revealing several RAP lesions superior to fovea.

Photographer: Stuart Alfred CRA

Condition/keywords: choroidal neovascular membrane (CNVM), neovascular age-related macular degeneration (AMD), retinal angiomatous proliferation (RAP), wet age-related macular degeneration (wet AMD)

Jan 21 2016 by James B. Soque, CRA, OCT-C, COA, FOPS

Stereo pair of 75-year-old white male with classic SRN with RAP lesion of right eye, actively receiving anti-VEGF treatment. 50 Degrees, no mag, L and R stereo pair. Single View of OD also visible in this case.

Condition/keywords: age-related macular degeneration (AMD), anti-VEGF, retinal angiomatous proliferation (RAP), stereo pair, subretinal neovascularization (SRNV)