Journal
OPHTHALMIC SURGERY LASERS & IMAGING RETINA
Volume 46, Issue 2, Pages 266-270Publisher
SLACK INC
DOI: 10.3928/23258160-20150213-04
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Funding
- Department of Health's NIHR Biomedical Research Centre for Ophthalmology at Moorfields Eye Hospital
- UCL Institute of Ophthalmology
- Academy of Medical Sciences (AMS) [AMS-SGCL6-Keane] Funding Source: researchfish
- National Institute for Health Research [CL-2010-18-004] Funding Source: researchfish
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The authors report imaging findings in a case of macular serpiginous choroidopathy (MSC). Near-infrared reflectance (NIR), fundus autofluorescence (FAF), and spectral-domain optical coherence tomography (SD-OCT) were performed on a 25-year-old man presenting with decreased visual acuity and a blind spot in his left eye. Fundus examination revealed a yellow subretinal infiltrate inferior to the macula with active edges. On SD-OCT, areas of disease activity presented as a diffuse hyperreflective signal in the outer nuclear layer (ONL). Inactive lesions presented as localized thinning of the ONL. NIR allowed clear visualization of a hyperreflective junctional line between the active and inactive areas that subsequently became disrupted. FAF revealed a diffuse hypoautofluorescent halo surrounding an area of hyperautofluorescence in the acute phase and later better-defined lesions and hypoautofluorescent lesion edges.
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