A 17-year-old female presented with metamorphopsia and blurred vision in right eye (OD) since 1 week. Her best corrected visual acuity (BCVA) was 6/9;N8 in OD and 6/6;N6 in left eye (OS). Clinical examination revealed findings suggestive of choroidal neovascular membrane (CNVM). Her spectral-domain optical coherence tomography (SD-OCT) showed an active Type 2 CNVM associated with a FCE, which was confirmed by fundus fluorescein angiography (FFA). She was treated with multiple intravitreal antiVEGF injections. At her follow-up visits there was significant CNVM resolution, but FCE was progressively increasing in depth, as measured from a horizontal line drawn at the level of RPE to the inner margin of FCE, from 121 μm to 256 μm over the period of 2 years, possibly due to the contraction of the underlying scar [].
A 21-year-old male presented with distortion of vision in OS noted accidently since 8 days with BCVA of 6/6;N6 in both eyes. Fundus examination revealed an extrafoveal grayish membrane with overlying hemorrhages. Enhanced depth imaging showed pachychoroid with thickness of 443 μm. SD-OCT revealed CNVM associated with FCE. AntiVEGF monotherapy was given with complete resolution of CNVM, but the FCE remained stable in size and configuration during subsequent follow-ups. Final BCVA was maintaining to 6/6; N6 in both the eyes [].