Macrovaso coroideo y metamorfopsia persistente después de cirugía de membrana epirretiniana
- H.E. Tapia Quijada 1
- A. Pareja Ríos 1
- M. Serrano García 12
- F.I. Mesa Lugo 1
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1
Hospital Universitario de Canarias
info
- 2 Centro de Enfermedades Oculares Serrano, Santa Cruz de Tenerife, España
ISSN: 0365-6691
Year of publication: 2022
Volume: 97
Issue: 6
Pages: 344-349
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Abstract
We report the case of a 59-year-old man with decreased visual acuity and metamorphopsia in both eyes in the context of bilateral epiretinal membrane (ERM) who underwent retinovitreal surgery (chromovitrectomy plus peeling of internal limiting membrane). He recovered visual acuity in his left eye. However, the visual results of his right eye were not satisfactory, with persistence of metamorphopsia in that eye. The multimodal imaging study that included colour and red filter retinographies, enhanced depth imaging optical coherence tomography (EDI-OCT), fluorescein angiography (FA), indocyanine green angiography (ICGA), OCT angiography (OCTA) and OCT en face, were useful to diagnose a choroidal macrovessel. This ran from the fovea to the temporal macula. EDI-OCT revealed that the choroidal macrovessel generated a foveal deformation of both the ellipsoid zone (EZ) and the retinal pigment epithelium (RPE). This paper discusses whether structural changes in the fovea generated by the choroidal macrovessel are related to persistent metamorfopsia in the affected eye.