Title

IMPORTANCE OF OCTA IN HIGH MYOPIC PATIENTS WITH MACULA HEMORRHAGE

Summary

Abstract Purpose: Toreport a case ofreccurent macular hemorraghe in a high myopicpatientwithsuggestiveneovascularmembrane. Methods: A 32 years-old man, presented to our service with recurrent blacks spots and visual impairment in both eyes. Anophthalmoscopicexaminationandopticalcoherencetomographyangiography (OCTA) wasperformed. Conservative conduct was taken after OCTA analysis. Results: The patient with high myopia presented with recurrence of macular hemorrhage with visual impairment. The clinical exam and the OCT were suggestive of CNV, but OCTA did not detected abnormal vessels. The patient was not treated with anti-VEGF with a total improvement in visual acuity and complains. The importance to avoid unnecessary anti-VEGF injections is related to the adverse events, such as infection, retinal detachment and cardiovascular events Conclusion: The classification of hemorrhages in pathological myopia, with or without CNV, combined with OCTA is of fundamental importance for the decision to treat, or not, subretinal hemorrhage associated with high myopia.

Area

CLINICAL CASE

Authors

SEBASTIAO XAVIER CURADO, VINICIUS FERREIRA KNIGGENDORF, SERGIO LUIZ KNIGGENDORF, IRINEU RIBEIRO DE MELO JUNIOR, MARIA DE FATIMA SAINZ UGARTE, EDUARDO MUNIZ FENELON