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Optical coherence tomography angiography findings before and after onset of foveal retinal neovascularization in diabetic retinopathy
PURPOSE: To report a rare case of foveal retinal neovascularization (RNV) in a patient with diabetic retinopathy in whom the retinal microcirculation structure before and after the onset of the disease was evaluated using optical coherence tomography angiography (OCTA). OBSERVATIONS: A 54-year-old w...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8861405/ https://www.ncbi.nlm.nih.gov/pubmed/35243170 http://dx.doi.org/10.1016/j.ajoc.2022.101435 |
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author | Hirano, Takao Takahashi, Yoshiaki Hoshiyama, Ken Murata, Toshinori |
author_facet | Hirano, Takao Takahashi, Yoshiaki Hoshiyama, Ken Murata, Toshinori |
author_sort | Hirano, Takao |
collection | PubMed |
description | PURPOSE: To report a rare case of foveal retinal neovascularization (RNV) in a patient with diabetic retinopathy in whom the retinal microcirculation structure before and after the onset of the disease was evaluated using optical coherence tomography angiography (OCTA). OBSERVATIONS: A 54-year-old woman with diabetes mellitus was referred to our department for fundus evaluation, and was diagnosed with cataract and severe non-proliferative diabetic retinopathy in the left eye. Two years after we performed cataract surgery and pan-retinal photocoagulation in the left eye, OCTA detected a previously unidentified foveal RNV arising from the perifoveal capillary network. The vitreous retinal interface slab of OCTA and cross-sectional OCT images confirmed that this foveal RNV was an aberrant vessel invading the vitreous cavity. CONCLUSIONS AND IMPORTANCE: The findings in this case indicate that foveal RNV in diabetic retinopathy is derived from vessels outside the foveal avascular zone (FAZ), and OCTA is a useful examination for the diagnostic investigation of foveal RNV. |
format | Online Article Text |
id | pubmed-8861405 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-88614052022-03-02 Optical coherence tomography angiography findings before and after onset of foveal retinal neovascularization in diabetic retinopathy Hirano, Takao Takahashi, Yoshiaki Hoshiyama, Ken Murata, Toshinori Am J Ophthalmol Case Rep Case Report PURPOSE: To report a rare case of foveal retinal neovascularization (RNV) in a patient with diabetic retinopathy in whom the retinal microcirculation structure before and after the onset of the disease was evaluated using optical coherence tomography angiography (OCTA). OBSERVATIONS: A 54-year-old woman with diabetes mellitus was referred to our department for fundus evaluation, and was diagnosed with cataract and severe non-proliferative diabetic retinopathy in the left eye. Two years after we performed cataract surgery and pan-retinal photocoagulation in the left eye, OCTA detected a previously unidentified foveal RNV arising from the perifoveal capillary network. The vitreous retinal interface slab of OCTA and cross-sectional OCT images confirmed that this foveal RNV was an aberrant vessel invading the vitreous cavity. CONCLUSIONS AND IMPORTANCE: The findings in this case indicate that foveal RNV in diabetic retinopathy is derived from vessels outside the foveal avascular zone (FAZ), and OCTA is a useful examination for the diagnostic investigation of foveal RNV. Elsevier 2022-02-16 /pmc/articles/PMC8861405/ /pubmed/35243170 http://dx.doi.org/10.1016/j.ajoc.2022.101435 Text en © 2022 The Authors. Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Hirano, Takao Takahashi, Yoshiaki Hoshiyama, Ken Murata, Toshinori Optical coherence tomography angiography findings before and after onset of foveal retinal neovascularization in diabetic retinopathy |
title | Optical coherence tomography angiography findings before and after onset of foveal retinal neovascularization in diabetic retinopathy |
title_full | Optical coherence tomography angiography findings before and after onset of foveal retinal neovascularization in diabetic retinopathy |
title_fullStr | Optical coherence tomography angiography findings before and after onset of foveal retinal neovascularization in diabetic retinopathy |
title_full_unstemmed | Optical coherence tomography angiography findings before and after onset of foveal retinal neovascularization in diabetic retinopathy |
title_short | Optical coherence tomography angiography findings before and after onset of foveal retinal neovascularization in diabetic retinopathy |
title_sort | optical coherence tomography angiography findings before and after onset of foveal retinal neovascularization in diabetic retinopathy |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8861405/ https://www.ncbi.nlm.nih.gov/pubmed/35243170 http://dx.doi.org/10.1016/j.ajoc.2022.101435 |
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