Peripheral CNVM with Extensive Scarring

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File number: 38283

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    Image of the week
    Mar 1, 2020
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    Rating 1 rating
    Appears in
    Miscellaneous
    Condition/keywords
    choroidal neovascular membrane (CNVM), peripheral fundus lesion, vitreous blood
    Photographer
    Shelly Blair
    Imaging device
    Fundus camera
    Optos CA
    Description
    82-year-old white male with an acute loss of vision in the right eye was sent in to rule out a retinal detachment. Vision was 20/350; a dense VH was present, b-scan showed irregular areas of high reflectivity in the periphery that was c/w SRH. Peripherally, a few weeks later, there were areas that could be seen and were c/w peripheral CNVM (old and new). Anti-VEGF was administered. A month later vision was unchanged and patient wanted surgery to remove the VH. Pictured is one week since surgery; large peripheral scars are seen; diffuse areas of SR pigmentation is present; vitreous skirt present; and a few IRHs secondary to DR can be seen. He is currently 20/70 sc.

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