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MACULAR CHOROIDAL NEOVASCULARIZATION IN PERIPAPILLARY HYPERREFLECTIVE OVOID MASS-LIKE STRUCTURES: CASE REPORT
Ana Bárbara Dias Lopes Urzedo1, Kenzo Hokazono
1Department of Ophthalmology, Hospital de Clínicas da Universidade Federal do Paraná, Curitiba-PR, Brazil .
Purpose:
The purpose of this study was to describe a patient with peripapillary hyperreflective ovoid mass-like structures associated with macular type 2 choroidal neovascularization.
Methods:
Case report.
Results:
A healthy 36-year-old woman presented with vision loss in the right eye over the previous 3 days. An optical coherence tomography B-scan of the optic nerve head showed peripapillary hyperreflective ovoid mass-like structures, and OCT-angiography of the macular region showed a type 2 choroidal neovascularization. The patient was treated with an intravitreal injection of antivascular endothelial growth factor with marked improvement.
Conclusion:
Peripapillary hyperreflective ovoid mass-like structure is an optical coherence tomography finding presently believed to result from axoplasmic stasis due to herniation of the retinal nerve fiber layer at the optic nerve head. Several systemic and ocular findings associated with peripapillary hyperreflective ovoid mass-like structures have been commonly described, but macular choroidal neovascularization remains a rare association.
