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Double Myopic Choroidal Neovascular Membranes (CNVMs): A Case Report
Asli Perente1, Aikaterini Giannoukaki1, Doukas Dardabounis1
1Ophthalmology Department, University Hospital of Alexandroupolis, Alexandroupolis, GRC.
Cureus
|July 24, 2025
Summary
Pathologic myopia can cause choroidal neovascularization (CNV). This case study shows two CNVs in one eye, diagnosed with OCT-A and treated with anti-VEGF therapy, highlighting a rare presentation of a common complication.
Area of Science:
- Ophthalmology
- Medical Imaging
- Retinal Diseases
Background:
- Pathologic myopia (PM) is a leading cause of visual impairment.
- Myopic choroidal neovascularization (CNV) is a frequent complication of PM.
- Early detection and treatment of myopic CNV are vital to preserve vision.
Observation:
- A female patient presented with two distinct myopic CNVs in the same eye.
- Optical coherence tomography angiography (OCT-A) provided clear visualization of both CNVs.
- The patient received anti-vascular endothelial growth factor (anti-VEGF) injections for treatment.
Findings:
- OCT-A successfully identified and differentiated two concurrent myopic CNVs.
- Anti-VEGF therapy demonstrated efficacy in managing this unusual presentation.
- The case highlights the diagnostic and therapeutic potential of OCT-A and anti-VEGF in complex myopic CNV.
Implications:
- This case suggests that multiple myopic CNVs can occur in a single eye.
- Further research is needed to understand the prevalence and optimal management of multiple myopic CNVs.
- Advanced imaging like OCT-A is crucial for accurate diagnosis and monitoring of myopic CNV complications.
