|Year : 2021 | Volume
| Issue : 1 | Page : 21
Hypertrophic sub-retinal scar in neovascular age related macular degeneration
Samendra Karkhur, Deepak Soni, Bhavana Sharma
Department of Ophthalmology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India
|Date of Web Publication||31-Dec-2020|
Dr. Samendra Karkhur
Retina, Uveitis and ROP Services, Department of Ophthalmology, All India Institute of Medical Sciences, Bhopal - 462 020, Madhya Pradesh
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Karkhur S, Soni D, Sharma B. Hypertrophic sub-retinal scar in neovascular age related macular degeneration. Indian J Ophthalmol Case Rep 2021;1:21
|How to cite this URL:|
Karkhur S, Soni D, Sharma B. Hypertrophic sub-retinal scar in neovascular age related macular degeneration. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Feb 27];1:21. Available from: https://www.ijoreports.in/text.asp?2021/1/1/21/305513
A 50-year-old male presented with diminution of vision in right eye (20/200) for two months and previously diagnosed foveal atrophy in left eye. Fundus and Spectralis® (Heidelberg Engineering) spectral domain optical coherence tomography (SD-OCT) examination revealed hypertrophic scar with sub-retinal fluid in right eye which resolved with anti-VEGF treatment and vision improved to 20/60 [Figure 1]a and [Figure 1]b. This is a rare OCT appearance of biconvex, disciform scar-cleaving the RPE-choroid interface with a lamellar cross-section [Figure 1]b. An uncanny resemblance to human crystalline lens could not be overlooked [Figure 1]b. Though, it remains unestablished whether focal choroidal excavation (FCE) is a congenital malformation or an acquired entity, a condition that can lead to choroidal scarring of the macula may result in an acquired form of FCE. Hypertrophic scar in this case with its contractile property might have a role in pathogenesis of acquired FCE. Disciform scars often have photoreceptor layer disruption, which portends a dismal prognosis., The index case presents an interesting scar morphology and good visual outcome owing to preserved photoreceptor layer.
|Figure 1: Color fundus photograph of the right eye, showing yellowish-white submacular lesion (a). SD-OCT in enhanced depth imaging mode shows presence of sub-retinal, biconvex, hypertrophic scar, pushing the choroid and RPE simultaneously with a characteristic lamellar appearance in the submacular area in right eye (b)|
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The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
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Conflicts of interest
There are no conflicts of interest.
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