Consultant Ophthalmologist
A 57-year-old woman is referred with a growing left macular lesion and a hypermetropic shift in visual acuity. Serial OCT demonstrates interval growth of a choroidal lesion with an overlying serous PED, raising a broad differential that includes circumscribed choroidal haemangioma, CSCR spectrum disease, and choroidal melanoma.
Read case →A 57-year-old man is referred having carried a diagnosis of early-onset dry AMD since his late thirties. The age of onset alone is enough to question the label - and the imaging raises a broad differential including dominant drusen, pachychoroid drusen, and inherited macular dystrophy.
Read 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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