title: Peripapillary Intrachoroidal Cavitation in Myopia Evaluated with Multimodal Imaging Comprising "En-Face" Technique.
abstract: Objectives. To demonstrate the usefulness of "en-face" Spectral Domain Optical Coherence Tomography (SD-OCT) combined with Fluorescein Angiography (FA) in the investigation of peripapillary intrachoroidal cavitation. Materials and Methods. A 72-year-old man followed for primary open-angle glaucoma (POAG) for 4 years was referred for an asymptomatic "peripapillary lesion." A full ophthalmological examination and conventional imaging of the retina were done. FA, Indocyanine Green Angiography (ICG-A), and SD-OCT using the "en-face" technique were also performed. Results. Best-corrected visual acuity (BCVA) was 20/25 both eyes. Slit-lamp examination revealed no abnormalities of anterior segment. Intraocular pressure (IOP) was normal. Fundus examination showed a triangular yellow-orange thickening at the inferior border of both optic nerves. FA showed early hypofluorescence of the lesion and progressive staining without any dye pooling. SD-OCT with "en-face" technique showed an intrachoroidal hyporeflective space resembling a cavitation below the retinal pigment epithelium (RPE). Conclusions. "En-face" SD-OCT and FA are valuable techniques for the diagnosis of peripapillary intrachoroidal cavitation associated with myopia. Pathophysiological insights regarding SD-OCT findings and angiography behavior are offered.
authors.affiliation: Eye & Ear University Hospital, Faculté de Médecine, Université Saint-Esprit de Kaslik, P.O. Box 70-933, Beyrouth, Lebanon.
authors.forename: Georges
authors.initials: G
authors.lastname: Azar
authors.affiliation: Fondation Ophtalmologique Adolphe de Rothschild, 25 rue Manin, 75019 Paris, France.
authors.forename: Romain
authors.initials: R
authors.lastname: Leze
authors.affiliation: Fondation Ophtalmologique Adolphe de Rothschild, 25 rue Manin, 75019 Paris, France.
authors.forename: Aude
authors.initials: A
authors.lastname: Affortit-Demoge
authors.affiliation: Hôpital Privé Saint Martin, 18 rue des Roquemonts, 14050 Caen Cedex, France.
authors.forename: Céline
authors.initials: C
authors.lastname: Faure