Multimodal imaging features of choroidal neovascularization secondary to non-infectious uveitis

[Objective] To evaluate the clinical characteristics and multimodal imaging features of non-infectious inflammatory choroidal neovascularization (iCNV). [Methods] In this study retrospective, observational study, multimodal imaging examinations, including fluorescein angiography (FFA), indocyanine g...

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Main Authors: YANG Shishi, WEN Feng, ZHANG Xiongze, CHEN Xuelin, GAN Yuhong
Format: Article
Language:zho
Published: Zhongshan Ophthalmic Center, Sun Yat-sen University 2025-03-01
Series:Yanke Xuebao
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Online Access:https://journal.gzzoc.com/Ykxb/Journal/ArticleShow.aspx?AID=5236
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Summary:[Objective] To evaluate the clinical characteristics and multimodal imaging features of non-infectious inflammatory choroidal neovascularization (iCNV). [Methods] In this study retrospective, observational study, multimodal imaging examinations, including fluorescein angiography (FFA), indocyanine green angiography (ICGA), spectral-domain optical coherence tomography (SD-OCT), and optical coherence tomography angiography (OCTA), were used to observe the morphology of non-infectious iCNV in patients diagnosed with uveitis. The area of iCNV, CNV types, CNV morphology and other imaging characteristics were further analyzed. [Results] A total of 39 patients were included, with 48 affected eyes and 51 iCNV were identified. The average age of the included patients was 35.28±13.62 years. Among the affected eyes, 3 presented with multifocal CNV, and 92.16% of iCNV were classified as type 2 CNV. iCNV exhibited diverse morphologies, including focal-like pattern (15 cases, 29.41%), sea-fan pattern(16 cases, 31.37%), dead-tree pattern CNV(9 cases, 17.65%), stellar pattern (9 cases, 17.65%), and diffuse reticular (2 cases, 3.92%). Notably, tree-like and stellar pattern iCNV showed a significant correlation with non-active CNV (P<0.01). [Conclusions] Non-infectious iCNV is closely related to inflammatory lesions, exhibiting characteristic imaging features on SD-OCT and ICGA.OCTA allows for direct observation of the morphology of iCNV. These multimodal imaging characteristics provide important diagnostic criteria for clinicians, aiding in the formulation of effective treatment plans.
ISSN:1000-4432