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Ophthalmic Images |

Unilateral Choroidal Macrovessel Online Only

Jaclyn L. Kovach, MD1
[+] Author Affiliations
1Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Florida, Miami
JAMA Ophthalmol. 2016;134(3):e153678. doi:10.1001/jamaophthalmol.2015.3678.
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This Ophthalmic Image shows an asymptomatic choroidal macrovessel in the right eye in the setting of non-neovascular age-related macular degeneration.

A white woman in her late 70s presented with an asymptomatic choroidal macrovessel in the right eye in the setting of non-neovascular age-related macular degeneration (AMD) (Figure).1,2 The patient had a family history of AMD and her medical history was significant for cataract surgery in both eyes, hypothyroidism, migraine headaches, chronic pancreatitis, and urinary incontinence. Her medications included Age-Related Eye Disease Study 2 vitamin supplementation. Her best-corrected visual acuity was stable at 20/30 OU and intraocular pressure was normal at 15 mm Hg OD and 13 mm Hg OS. Non-neovascular AMD was present in the left eye as well.

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Figure.

A, Fundus photograph of a choroidal macrovessel and drusen in the right eye. B, Optical coherence tomography B-scan shows increased reflectivity at the level of the retinal pigment epithelium with elevation of the retinal pigment epithelium at the lesion.

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