THE ROLE OF OPTICAL COHERENCE TOMOGRAPHY ANGIOGRAPHY IN DOME-SHAPED MACULOPATHY

Area of Science:

• Ophthalmology
• Medical Imaging
• Retinal Diseases

Background:

• Dome-shaped maculopathy is a condition affecting the macula.
• Choroidal neovascular membrane (CNVM) can develop in association with dome-shaped maculopathy.
• Accurate diagnosis and monitoring are crucial for effective management.

Purpose of the Study:

• To demonstrate the utility of optical coherence tomography angiography (OCTA) in managing dome-shaped maculopathy.
• To highlight OCTA's role in identifying and characterizing CNVM associated with this condition.
• To showcase how OCTA can guide therapeutic decisions and evaluate treatment efficacy.

Main Methods:

• Retrospective case review of a patient with dome-shaped maculopathy.
• Diagnosis confirmed using optical coherence tomography (OCT).
• OCT angiography used to visualize choroidal neovascularization (CNVM) in both eyes.

Main Results:

• OCTA revealed nonexudative CNVM in the right eye and exudative CNVM in the left eye.
• The patient with exudative CNVM received intravitreal ranibizumab injections.
• Following treatment, visual acuity improved to 20/20 in the left eye with resolution of subretinal fluid.

Conclusions:

• Optical coherence tomography angiography is a valuable tool for managing dome-shaped maculopathy.
• OCTA facilitates assessment of disease progression, CNVM development, and treatment response.
• This technology can identify nonexudative CNVM that might be missed by traditional imaging.