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Occult With No Classic CNV

Red-free PhotographImage courtesy of J Slakter

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Слайд 1Occult With No Classic CNV

Occult With No Classic CNV

Слайд 2Red-free Photograph
Image courtesy of J Slakter

Red-free PhotographImage courtesy of J Slakter

Слайд 3Red-free Photograph
Red-free photograph: shallow subretinal fluid and drusen are seen


There was a small pigment epithelial detachment (PED) noted on

clinical examination


Red-free PhotographRed-free photograph: shallow subretinal fluid and drusen are seen There was a small pigment epithelial detachment

Слайд 4Early-phase Fluorescein Angiogram
Image courtesy of J Slakter

Early-phase Fluorescein AngiogramImage courtesy of J Slakter

Слайд 5Early-phase Fluorescein Angiogram
Early phase: an area of irregular hyperfluorescence noted

centrally with some surrounding areas of hypofluorescence
The margins of this

region are fairly well defined
Early-phase Fluorescein AngiogramEarly phase: an area of irregular hyperfluorescence noted centrally with some surrounding areas of hypofluorescenceThe

Слайд 6Mid-phase Fluorescein Angiogram
Image courtesy of J Slakter

Mid-phase Fluorescein AngiogramImage courtesy of J Slakter

Слайд 7Mid-phase Fluorescein Angiogram
Mid (venous) phase: the area of hyperfluorescence stands

out in better contrast to the more homogenous background fluorescence


Note: there is no increased hyperfluorescence of the lesion typically seen with classic CNV


Mid-phase Fluorescein AngiogramMid (venous) phase: the area of hyperfluorescence stands out in better contrast to the more

Слайд 8Mid-late-phase Fluorescein Angiogram
Image courtesy of J Slakter

Mid-late-phase Fluorescein AngiogramImage courtesy of J Slakter

Слайд 9Mid-late-phase Fluorescein Angiogram
Mid-late phase: there is slightly more hyperfluorescence from

the lesion at this point

Mid-late-phase Fluorescein AngiogramMid-late phase: there is slightly more hyperfluorescence from the lesion at this point

Слайд 10Late-phase Fluorescein Angiogram
Image courtesy of J Slakter

Late-phase Fluorescein AngiogramImage courtesy of J Slakter

Слайд 11Late-phase Fluorescein Angiogram
Late phase: the lesion remains unchanged throughout the

later phases of the angiogram, without the increased hyperfluorescence and

leakage beyond the margins of the CNV seen with classic CNV
This is an example of occult CNV, likely representing a fibrovascular PED
Late-phase Fluorescein AngiogramLate phase: the lesion remains unchanged throughout the later phases of the angiogram, without the

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