OCT Angiography

Trust the myope: symptoms as the trigger for treatment in mCNV

A 52-year-old high myope treated for mCNV in 2018 returns eight years later with recurrent distortion in the same location. Structural OCT looks unchanged, but OCT-A reveals an active neovascular network within the area of apparent stable fibrosis - confirming that in mCNV, the history is as important as the scan.

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When CSCR becomes something more: a multimodal imaging case

A 57-year-old man with longstanding CSCR and 18 prior bevacizumab injections is reviewed with ongoing disease activity. Multimodal imaging including FFA, ICG, OCT angiography and structural OCT confirms pachychoroid neovasculopathy - a distinct entity within the pachychoroid spectrum - and guides a switch to aflibercept with good treatment response.

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