Novel insights into retinal neovascularization secondary to central serous chorioretinopathy using 3D optical coherence tomography angiography

Markus Gruber; Julian Wolf; Andreas Stahl; Thomas Ness; Henrik Scholl; Hansjuergen Agostini; Peter Maloca; Clemens Lange

doi:10.1016/j.ajoc.2020.100609

Novel insights into retinal neovascularization secondary to central serous chorioretinopathy using 3D optical coherence tomography angiography

Am J Ophthalmol Case Rep. 2020 Feb 11;18:100609. doi: 10.1016/j.ajoc.2020.100609. eCollection 2020 Jun.

Authors

Markus Gruber¹, Julian Wolf¹, Andreas Stahl^{1

2}, Thomas Ness¹, Henrik Scholl^{3

4}, Hansjuergen Agostini¹, Peter Maloca^{5

6

3}, Clemens Lange¹

Affiliations

¹ Eye Center, Albert-Ludwig University Freiburg, Freiburg, Germany.
² Department of Ophthalmology, University Medical Center Greifswald, Germany.
³ Institute of Molecular and Clinical Ophthalmology Basel (IOB), Basel, Switzerland.
⁴ Department of Ophthalmology, University of Basel, Basel, Switzerland.
⁵ OCTlab, Department of Ophthalmology, University Hospital Basel, Basel, Switzerland.
⁶ Moorfields Eye Hospital, London, UK.

Abstract

Purpose: To describe the clinical presentation and novel anatomical features of a patient with chronic central serous chorioretinopathy (CSCR) complicated by retinal neovascularization (RNV).

Observations: A 48 year-old patient with a long-standing history of bilateral CSCR presented to our clinic complaining about a sudden onset of tiny floaters. Multimodal imaging including fundus autofluorescence (FAF), fundus fluorescein (FA) and ICG angiography (ICG) and spectral domain optical coherence tomography (SD-OCT) confirmed the diagnosis of CSCR and revealed a pre-retinal neovascularization and concurring vitreous hemorrhage. Swept source OCT angiography (OCTA) and 3D reconstruction virtual reality determined the retinal origin of the neovascularization. Follow-up examination revealed clearing of the vitreous hemorrhage and spontaneous obliteration of the RNV without any treatment three months following the initial presentation.

Conclusion and importance: To the best of our knowledge, this is the first report of a RNV associated with CSCR which was determined by three-dimensional (3D) OCTA reconstruction.

Publication types

Case Reports