MACULAR CHOROIDAL NEOVASCULARIZATION IN PERIPAPILLARY HYPERREFLECTIVE OVOID MASS-LIKE STRUCTURES: CASE REPORT.
Ana Bárbara Dias Lopes Urzedo, Kenzo Hokazono
✦ AI-curated · Sources linked
Case in brief
A healthy 36-year-old woman presented with three days of vision loss in her right eye. Optical coherence tomography of the optic nerve head showed peripapillary hyperreflective ovoid mass-like structures (PHOMS), while macular OCT angiography demonstrated type 2 choroidal neovascularization. After an intravitreal anti-VEGF injection, her condition improved markedly.
What made this case unusual
The notable finding was the coexistence of macular type 2 choroidal neovascularization with PHOMS, an association the report describes as rare.
Diagnostic / clinical pearl
When PHOMS are seen on optic nerve head OCT, assess the macula as well; in this case, OCT angiography identified associated type 2 choroidal neovascularization.