OCT Tip 266 was originally published on July 14th, 2023.
This woman with loose skin on her neck presents with blurred vision. Why?
Analysis
There is significant destruction of the deeper layers of the retina with external limiting membrane, and ellipsoid being lost. There is deep hyperreflectivity which correlates to both fibrosis and RPE changes suggestive of angioid streaks (video)
The patient was diagnosed with angioid streaks secondary to pseudoxanthoma elasticum .
In this tip's accompanying 5 min. video, we'll review:
- The causes of CNV
- The etiology of angioid streaks
- Why a skin biopsy may be warranted
OCT Tip
In any patient with CNV, carefully look for the presence of angioid streaks
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