Atypical choroidal neovascularization in radiation retinopathy.
OBJECTIVE
To report atypical choroidal neovascularization associated with radiation retinopathy.


METHODS
Case report.


METHODS
The patient was examined with ophthalmoscopy, fluorescein angiography, and indocyanine green angiography.


RESULTS
A 32-year-old woman presented with an accelerated course of radiation retinopathy with macular edema, capillary telangiectasis, subretinal fluid, and lipid during and after pregnancy. Indocyanine green, but not fluorescein angiography, demonstrated an unusual area of choroidal neovascularization with prominent saccular dilations adjacent to a large zone of poor choroidal perfusion. Laser photocoagulation of the choroidal neovascularization resulted in an angiographic closure with absorption of the subretinal fluid and improvement of visual acuity.


CONCLUSIONS
Choroidal neovascularization may be associated with radiation retinopathy and, when present, may require indocyanine green angiography for its diagnosis.
Spaide
Richard F
RF
LuEsther T. Mertz Retinal Research Center, Manhattan Eye, Ear and Throat Hospital, New York, New York, USA. vrmny@aol.com
Borodoker
Natalie
N
Shah
Viral
V
D000328:Adult; D001918:Brachytherapy / Q000009:adverse effects; D002830:Choroid Neoplasms / Q000532:radiotherapy; D020256:Choroidal Neovascularization / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004396:Coloring Agents; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D007208:Indocyanine Green; D007457:Iodine Radioisotopes / Q000009:adverse effects; D017075:Laser Coagulation; D008545:Melanoma / Q000532:radiotherapy; D011247:Pregnancy; D011832:Radiation Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012160:Retina / Q000528:radiation effects*; D012164:Retinal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery
D004396:Coloring Agents; D007457:Iodine Radioisotopes; D007208:Indocyanine Green