DR.DR. SAURABH HARAL

DR.VISHNU SWARUP GUPTA, DR. ANIL SOLANKI

Abstract

A case of 37 years emetropic female with painless progressive blurring of vision in left eye with no history of pain, redness or photophobia, no history of trauma, no history suggestive of any previous episode of ocular inflammation or any history of laser treatment. On examination her best corrected visual acuity was 6/60 in left eye and slit lamp biomicroscopy showed sub foveal greyish white elevated lesion.On OCT macula a hyper-reflective complex at the level of RPE with adjacent hyporeflective area suggestive of sub foveal CNVM complex with neurosensory detachment.On Fluorescein angiography early hyperfluorescence, gradually increasing in size and intensity with time was seen with indistinct margins. Intravitreal injection of Ranibizumab was injected in the left eye and at a three weeks of follow up visual acuity was improved to 6/18. This is a case of young female with absence of any choroidal or RPE disease process that could be associated with CNVM, hence Idiopathic CNVM.