The authors report a case of a female patient affected by neovascular age-related macular degeneration (AMD). In particular, multiple sub-retinal hyperreflective infiltrates were found on optical coherence tomography. Optical coherence tomography examination of her right eye displayed the presence of sub-retinal pigment epithelium hyporeflective spaces located beneath a hyperreflective fibrotic neovascularization. This case highlights the importance of differentiating choroidal clefts from choroidal caverns.
MukaiRSatoTKishiS.A hyporeflective space between hyperreflective materials in pigment epithelial detachment and Bruch’s membrane in neovascular age-related macular degeneration. BMC Ophthalmol2014; 14: 159.
2.
QuerquesGCostanzoEMiereA, et al. Choroidal caverns: a novel optical coherence tomography finding in geographic atrophy. Invest Ophthalmol Vis Sci2016; 57(6): 2578–2582.
3.
CarnevaliASacconiRCorbelliE, et al. Choroidal caverns: a previously unreported optical coherence tomography finding in best vitelliform dystrophy. Ophthalmic Surg Lasers Imaging Retina2018; 49(4): 284–287.
4.
Dolz-MarcoRGloverJPGal-OrO, et al. Choroidal and sub-retinal pigment epithelium caverns: multimodal imaging and correspondence with Friedman lipid globules. Ophthalmology2018; 125(8): 1287–1301.