Maiko Inoue1, Kunal K Dansingani, K Bailey Freund. 1. *Vitreous Retina Macula Consultants of New York, New York, NY; †The LuEsther T. Mertz Retinal Research Center, Manhattan Eye, Ear and Throat Hospital, New York, NY; and ‡Department of Ophthalmology, New York University School of Medicine, New York, NY.
Abstract
PURPOSE: To describe a patient who showed progression of age-related macular degeneration along the course of an underlying large choroidal vessel. METHODS: Retrospective case report. RESULTS: An 84-year-old woman was diagnosed with age-related macular degeneration and followed for more than 6 years. Retinal pigment epithelial changes were more advanced in her right eye which had a thinner choroid than the fellow left eye. Multimodal imaging with swept-source optical coherence tomography showed that the progression of outer retinal and retinal pigment epithelial changes appeared to follow the course of a large choroidal vessel. CONCLUSION: The authors hypothesize that large choroidal vessels can compress the overlying choriocapillaris, possibly leading to outer retinal ischemia, which subsequently could focally accelerate the course of age-related macular degeneration.
PURPOSE: To describe a patient who showed progression of age-related macular degeneration along the course of an underlying large choroidal vessel. METHODS: Retrospective case report. RESULTS: An 84-year-old woman was diagnosed with age-related macular degeneration and followed for more than 6 years. Retinal pigment epithelial changes were more advanced in her right eye which had a thinner choroid than the fellow left eye. Multimodal imaging with swept-source optical coherence tomography showed that the progression of outer retinal and retinal pigment epithelial changes appeared to follow the course of a large choroidal vessel. CONCLUSION: The authors hypothesize that large choroidal vessels can compress the overlying choriocapillaris, possibly leading to outer retinal ischemia, which subsequently could focally accelerate the course of age-related macular degeneration.
Authors: Beatrice Gallo; Samantha R de Silva; Omar A Mahroo; Zubin Saihan; Praveen J Patel; Jonathan G Dowler; Carlos Pavesio; Pearse A Keane; Adnan Tufail; Mandeep S Sagoo Journal: Br J Ophthalmol Date: 2021-01-04 Impact factor: 4.638