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Central Carolina Surgical Eye Associates, P.A.

Case Study:
Choroidal neovascular membrane (CNV)

This color fundus photograph clearly shows a juxtafoveal lesion (arrow). The dirty green-gray membrane is associated with a neurosensory serous macular detachment. If left untreated, this lesion may invade the central macula and central visual acuity will be lost.

This early phase digital fluorescein angiogram shows the juxtafoveal lesion clearly away from the foveal avascular zone. This lesion clearly qualifies as to the strict guidelines required for laser photocoagulation to be successful and to retain good central visual acuity.
Unfortunately, most CNV lesions are found after central vision is lost.
This late phase digital fluorescein angiogram clearly demonstrates leakage from the choroidal neovascular membrane. If laser photocoagualtion is applied at this time, chances are good that visual acuity can be preserved.
This digital fluorescein angiogram was obtained one week after laser photocoagulation and clearly demonstrates full closure of the choroidal neovascular membrane. The central macula is spared and the patient retains good central visual acuity.


This classic study of CNV demonstrates the importance of early detection of CNV. In this case study, Presumed Ocular Histoplasmosis Syndrome is the likely cause of this CNV.

John D. Matthews, MD and  John T. Harriott, MD of Southeastern Eye Center are both fellowship trained retina specialists and Board Certified by the American Academy of Ophthalmology.

"Trust Your Eyes To Experience"

Southeastern Eye Center
3312 Battleground Avenue
Greensboro, North Carolina

Toll Free: 1-800-632-0428
or call: 1-336-282-5000

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