Posters

Angioid streaks complicated by choroidal neovascularization

Poster Details

First Author: B.Yousra MOROCCO

Co Author(s):    F. Boudguigue   A. Ridallah   A. El bouaychi   K. Belkhadir   O. Cherkaoui        

Abstract Details

Purpose:

Cavernous sinus thrombosis is a rare complication of retro septal cellulitis. It is a serious condition that, without treatment, can lead to mortality. Our purpose is to report a case of angioid streaks complicated by choroidal neovascularization to analyze the clinical aspects and to determine the contribution of retinal angiography and OCT in diagnosis and monitoring.

Setting:

Department A of Ophthalmology, Mohammed V University Souisi, Faculty of Medicine, Rabat, Morocco

Methods:

A 48-year-old man with no significant pathological history, demonstrated decreased vision in her both eyes at presentation. Visual acuity was 20/100 on the right eye and 20/50 on the left eye. Slit-lamp examination of the anterior segment and intraocular pressure were normal. A dilated Funduscopy revealed bilateral angioid streaks with a small parafoveal hemorrhage.

Results:

Multimodal imaging, including fluorescein angiography (FA), and spectral-domain optical coherence tomography (SD-OCT), revealed angioid streaks complicated by macular CNV. The results of skin biopsy, cardiovascular examination and haemoglobin eletrophoresis didn't confirm drepanocytosis or an elastic pseudoxanthoma. CNV was treated with 3 monthly intravitreal injections of ranibizumab. Visual acuity improved to 20/50 and remained stable over 6 months.

Conclusions:

Angioid streaks are a rare pathology that requires regular monitoring and ophthalmological control in order to quickly diagnose a neovascular complication requiring targeted and early treatment with intravitreal injection of Anti VEGF.

Financial Disclosure:

None