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Macular Choroidal Neovascularization in Peripapillary Hyperreflective Ovoid Mass-Like Structures (PHOMS): 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 (PHOMS) 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 (OCT) B-scan of the optic nerve head showed PHOMS, and OCT-angiography of the macular region showed a type 2 choroidal neovascularization. The patient was treated with an intravitreal injection of anti-vascular endothelial growth factor with marked improvement.
Conclusion:
PHOMS is an OCT 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 PHOMS have been commonly described, but macular choroidal neovascularization remains a rare association.
