Dr.JIBI SURESH
PURPOSE – To report a case of chorioretinal scar associated with choroidal neovascular membrane.
METHOD- A 48 year old female presented with abrupt onset of blurring of vision and metamorphopsia in the right eye since one week.She had decreased vision in the same eye since 12 years secondary to macular scar attributed to ocular toxoplasmosis.
Anterior segment – normal
Fundus showed a yellow white lesion of 1DD size inferotemporal to the fovea.Coexisting hemorrhage was at the fovea with macular thickening & subretinal fluid at the posterior pole.
OCT showed elevated foveal contour with increased retinal thickness,hyperreflectivity & pockets of subretinal fluid.
FFA showed hyperfluorescence in the early phase with increase in intensity & size in the late phase.
CONCLUSION- Coexisting CNVM with active toxo choroiditis is an important presentation & should be suspected in the presence of subretinal hemorrhage & managed with a combination of anti-Toxoplasma drugs & intravitreal anti-VEGF
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