RetinaClub - Retina Club : Retina Club

Clarus Club. Case #212. We present the case of a $Clarus Club. Case #212. We present the case of a 43-year-old male who came to our clinic for the first time due to low vision. The fundus findings were surprising in their severity for such a young patient. However, it was the presence of angioid streaks that helped us diagnose this condition. In patients with limited follow-up and insufficient resources, the formation of new fractures in Bruch’s membrane, hemorrhages, and untreated choroidal neovascularization may go unnoticed. seudoxanthoma elasticum (PXE) is an inherited disorder that affects elastic tissues, including the skin, blood vessels, and retina. In the retina, the characteristic findings include angioid streaks, which are breaks in Bruch’s membrane caused by calcification and loss of elasticity. These streaks appear as irregular lines radiating from the optic nerve. Patients with PXE are at high risk of developing choroidal neovascular membranes (CNV), which can lead to subretinal hemorrhages, fibrotic scarring, and significant visual loss. Spontaneous fractures of Bruch’s membrane are common in this condition, predisposing patients to subretinal hemorrhages, which can be spontaneous or secondary to minor trauma that would not typically cause damage in healthy individuals. These hemorrhages increase the risk of further complications, such as the formation of CNV and fibrovascular scarring, worsening the visual prognosis. Management of CNV with anti-VEGF therapy is crucial to limit visual loss progression. #zeiss #clarus #retina #widefieldretinalimaging #oftalmologia #medicalretina #amd #angiodstreaks #pseudoxanthomaelasticum$

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