Figure 5 | Scientific Reports

Figure 5

From: InCASEOf scoring system for distinction between pachychoroid-associated macular neovascularization and neovascular age-related macular degeneration in patients older than 50 years

Figure 5

Multimodal imaging of a Caucasian 83-year-old female diagnosed with mixed MNV secondary to neovascular AMD. (A,B) The OCT scan reveals a fibrovascular pigment epithelium detachment associated with sub-retinal fluid, sub-retinal hyperreflective material and hyperreflective foci. The sub-foveal choroidal thickness was 216 μm. (C) The fundus autofluorescence shows a macular granular hyper/hypoautofluorescence. The fluorescein early (D) and late (E) angiograms display a homogeneous well-defined intense central hyperfluorescence (type 2 MNV) and a pinpoint surrounding hyperfluorescence (type 1 MNV) with late leakage of both components. (F) OCTA shows the presence of flow within the neovascular lesion with irregular filamentous pattern. (G) The early indocyanine green angiogram clearly reveals a central net of small vessels (type 2 MNV). (H) The late phase angiogram demonstrates a hyperfluorescent plaque (type 1 MNV). I = 0 (mixed MNV); C = 0 (< 300 μm); A = 0 (> 65 years); S = 0 (female); E = 0 (No early pachyvessels); O = 3 (evidence of MNV at OCTA); f = + 0.5 (presence of SRF). The patient scores 3.5.

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