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04 April 2024: Articles

Multimodal Imaging of an Idiopathic Vascularized Epiretinal Membrane: A Case Report

Rare disease

Hillary K. Osorio-Landa A , Porfirio Oliver-Aguirre A , Andrée Henaine-Berra A , Gerardo Garcia-Aguirre A*

DOI: 10.12659/AJCR.943391

Am J Case Rep 2024; 25:e943391

Figure 1. Multimodal imaging of the left eye. (A, B) Multicolor imaging shows a semi-translucent membrane in the superior temporal vascular arcade with an associated flat vascularization complex of thin vessels (white arrow). (C, D). Spectral domain optical coherence tomography reveals a thick pre-retinal hyper-reflective line with no vitreoretinal traction and a subtle irregularity in the inner and intermediate retina layers. See horizontal (C) and vertical (D) cross-section. (E) Fluorescein angiography exposes localized hyperfluorescence with leakage corresponding to the thin vessels observed (asterisk). No areas of capillary closure were identified. (F, G) Optical coherence tomography angiography shows a high-flow abnormal vascular complex with unbranched long dilated filamentous vessels similar to pruned-vascular-tree pattern in the superficial capillary plexus. Note how OCT-A en-face superficial cross-section (F) shows that the borders of the vascular complex have more fine vessels and how it exactly correlates with the high-flow observed in the OCT-A B-scan (G).

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923