Extensive Macular Atrophy with Pseudodrusen Imaged with OCT Angiography

This report describes the first case of extensive macular atrophy with pseudodrusen (EMAP) imaged with optical coherence tomography angiography (OCTA). A 58-year-old Caucasian man presented with decreased central vision in both eyes. Fundus examination showed large areas of macular atrophy centered...

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Main Author: Jaclyn L. Kovach
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2018/8213097
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author Jaclyn L. Kovach
author_facet Jaclyn L. Kovach
author_sort Jaclyn L. Kovach
collection DOAJ
description This report describes the first case of extensive macular atrophy with pseudodrusen (EMAP) imaged with optical coherence tomography angiography (OCTA). A 58-year-old Caucasian man presented with decreased central vision in both eyes. Fundus examination showed large areas of macular atrophy centered on the fovea surrounded by diffuse reticular pseudodrusen. Spectral domain OCT (SDOCT) revealed outer retinal and choriocapillaris atrophy. OCTA demonstrated marked absence of choriocapillaris flow. Extensive macular atrophy with pseudodrusen is a rare clinical entity and a new extreme phenotype of macular degenerations that could shed more light on the role of pseudodrusen and choriocapillaris compromise in the pathogenesis of AMD.
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series Case Reports in Ophthalmological Medicine
spelling doaj-art-eaab8a2df4aa4617bd206194fdb5927d2025-02-03T01:22:12ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302018-01-01201810.1155/2018/82130978213097Extensive Macular Atrophy with Pseudodrusen Imaged with OCT AngiographyJaclyn L. Kovach0Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, 3880 Tamiami Trail N, Naples, FL 34103, USAThis report describes the first case of extensive macular atrophy with pseudodrusen (EMAP) imaged with optical coherence tomography angiography (OCTA). A 58-year-old Caucasian man presented with decreased central vision in both eyes. Fundus examination showed large areas of macular atrophy centered on the fovea surrounded by diffuse reticular pseudodrusen. Spectral domain OCT (SDOCT) revealed outer retinal and choriocapillaris atrophy. OCTA demonstrated marked absence of choriocapillaris flow. Extensive macular atrophy with pseudodrusen is a rare clinical entity and a new extreme phenotype of macular degenerations that could shed more light on the role of pseudodrusen and choriocapillaris compromise in the pathogenesis of AMD.http://dx.doi.org/10.1155/2018/8213097
spellingShingle Jaclyn L. Kovach
Extensive Macular Atrophy with Pseudodrusen Imaged with OCT Angiography
Case Reports in Ophthalmological Medicine
title Extensive Macular Atrophy with Pseudodrusen Imaged with OCT Angiography
title_full Extensive Macular Atrophy with Pseudodrusen Imaged with OCT Angiography
title_fullStr Extensive Macular Atrophy with Pseudodrusen Imaged with OCT Angiography
title_full_unstemmed Extensive Macular Atrophy with Pseudodrusen Imaged with OCT Angiography
title_short Extensive Macular Atrophy with Pseudodrusen Imaged with OCT Angiography
title_sort extensive macular atrophy with pseudodrusen imaged with oct angiography
url http://dx.doi.org/10.1155/2018/8213097
work_keys_str_mv AT jaclynlkovach extensivemacularatrophywithpseudodrusenimagedwithoctangiography