Macular Neovascularization in a Patient With Pigmented Paravenous Chorioretinal Atrophy

Abstract

A 60-year-old male patient admitted to our clinic with complaints of decreased vision, nyctalopia, and metamorphopsia in both eyes, mainly in the left eye. The best-corrected visual acuity was determined as 20/25 on the right and 20/200 on the left eye with t he Snellen chart. Anterior segment examination was normal. Fundus examination revealed chorioretinal atrophic areas and bone spicules around all vascular ar- cades in both eyes. Optical coherence tomography displayed normal foveal architecture in the right eye; however, retinal pigment epithelial de- tachment, intraretinal cysts, subretinal fluid, and subretinal hyperreflective material were detected in the left eye. Examinat ion findings and fluorescein angiography were supported by visual field and electrophysiological tests, and the patient was diagnosed as pigment ed paravenous chorioretinal atrophy (PPCRA) with Type 1 macular neovascularization. We aimed to present the co-occurrence of PPCRA and macula r neo- vascularization to the best of our knowledge, which has not been reported previously.