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Unilateral Choroidal Macrovessel

Unilateral Choroidal Macrovessel A white woman in her late 70s presented with an asymptomatic choroidal macrovessel in the right eye in the setting of non-neovascular age-related macular degeneration (AMD) (Figure).1,2 The patient had a family history of AMD and her medical history was significant for cataract surgery in both eyes, hypothyroidism, migraine headaches, chronic pancreatitis, and urinary incontinence. Her medications included Age-Related Eye Disease Study 2 vitamin supplementation. Her best-corrected visual acuity was stable at 20/30 OU and intraocular pressure was normal at 15 mm Hg OD and 13 mm Hg OS. Non-neovascular AMD was present in the left eye as well. Figure. View LargeDownload A, Fundus photograph of a choroidal macrovessel and drusen in the right eye. B, Optical coherence tomography B-scan shows increased reflectivity at the level of the retinal pigment epithelium with elevation of the retinal pigment epithelium at the lesion. Back to top Article Information Corresponding Author: Jaclyn L. Kovach, MD, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, 311 9th St N, Naples, FL 34102 (jkovach@med.miami.edu). Conflict of Interest Disclosures: The author has completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported. Funding/Support: Funding was provided by National Institutes of Health center grant P30-EY014801 and by an unrestricted grant to the University of Miami from Research to Prevent Blindness. Role of the Funder/Sponsor: The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. References 1. Ehlers JP, Rayess H, Spaide RF. Isolated choroidal macrovessel: a tracklike choroidal lesion. Can J Ophthalmol. 2014;49(6):e158-e160.PubMedGoogle ScholarCrossref 2. Lima LH, Laud K, Chang LK, Yannuzzi LA. Choroidal macrovessel. Br J Ophthalmol. 2011;95(9):1333-1334.PubMedGoogle ScholarCrossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

Unilateral Choroidal Macrovessel

JAMA Ophthalmology , Volume 134 (3) – Mar 1, 2016

Unilateral Choroidal Macrovessel

Abstract

A white woman in her late 70s presented with an asymptomatic choroidal macrovessel in the right eye in the setting of non-neovascular age-related macular degeneration (AMD) (Figure).1,2 The patient had a family history of AMD and her medical history was significant for cataract surgery in both eyes, hypothyroidism, migraine headaches, chronic pancreatitis, and urinary incontinence. Her medications included Age-Related Eye Disease Study 2 vitamin supplementation. Her best-corrected visual...
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Publisher
American Medical Association
Copyright
Copyright © 2016 American Medical Association. All Rights Reserved.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/jamaophthalmol.2015.3678
Publisher site
See Article on Publisher Site

Abstract

A white woman in her late 70s presented with an asymptomatic choroidal macrovessel in the right eye in the setting of non-neovascular age-related macular degeneration (AMD) (Figure).1,2 The patient had a family history of AMD and her medical history was significant for cataract surgery in both eyes, hypothyroidism, migraine headaches, chronic pancreatitis, and urinary incontinence. Her medications included Age-Related Eye Disease Study 2 vitamin supplementation. Her best-corrected visual acuity was stable at 20/30 OU and intraocular pressure was normal at 15 mm Hg OD and 13 mm Hg OS. Non-neovascular AMD was present in the left eye as well. Figure. View LargeDownload A, Fundus photograph of a choroidal macrovessel and drusen in the right eye. B, Optical coherence tomography B-scan shows increased reflectivity at the level of the retinal pigment epithelium with elevation of the retinal pigment epithelium at the lesion. Back to top Article Information Corresponding Author: Jaclyn L. Kovach, MD, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, 311 9th St N, Naples, FL 34102 (jkovach@med.miami.edu). Conflict of Interest Disclosures: The author has completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported. Funding/Support: Funding was provided by National Institutes of Health center grant P30-EY014801 and by an unrestricted grant to the University of Miami from Research to Prevent Blindness. Role of the Funder/Sponsor: The funders had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. References 1. Ehlers JP, Rayess H, Spaide RF. Isolated choroidal macrovessel: a tracklike choroidal lesion. Can J Ophthalmol. 2014;49(6):e158-e160.PubMedGoogle ScholarCrossref 2. Lima LH, Laud K, Chang LK, Yannuzzi LA. Choroidal macrovessel. Br J Ophthalmol. 2011;95(9):1333-1334.PubMedGoogle ScholarCrossref

Journal

JAMA OphthalmologyAmerican Medical Association

Published: Mar 1, 2016

Keywords: eye,age-related macular degeneration,choroidal circulation,optical coherence tomography

References