Optical coherence tomography angiography in pediatric choroidal neovascularization
Ciardella, Antonio P.
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CitationVeronese, Chiara, Chiara Maiolo, David Huang, Yali Jia, Grayson W. Armstrong, Mariachiara Morara, and Antonio P. Ciardella. 2016. “Optical coherence tomography angiography in pediatric choroidal neovascularization.” American journal of ophthalmology case reports 2 (1): 37-40. doi:10.1016/j.ajoc.2016.03.009. http://dx.doi.org/10.1016/j.ajoc.2016.03.009.
AbstractPurpose To report two cases of pediatric choroidal neovascularization (CNV) and the associated neo-vascular and retinal findings identified on Optical Coherence Tomography Angiography (OCTA) imaging. Methods: A 14-year-old boy with handheld laser-induced maculopathy-related CNV and a 13-year-old boy with idiopathic CNV were evaluated with visual acuity testing, slit-lamp exam, fundus photography, fluorescein angiography, indocyanine green angiography, spectral domain optical coherence tomography, and OCTA. Results: Macular CNV were identified in both pediatric patients using OCTA imaging. The first case demonstrated a classic pediatric type II CNV with a “tree-like” pattern and a single vessel in-growth site, while the second case demonstrated a type I CNV with a “glomerular” pattern. Conclusion: Distinct choroidal neovascular patterns were visualized in these two cases of pediatric CNV when compared to adult subtypes. OCTA is a noninvasive imaging modality capable of evaluating and characterizing pediatric CNV and their associated vascular patterns.
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