Role of Optical Coherence Tomography-angiography in Diagnosis and Monitoring Activity of Macular Telangiectasia-associated Choroidal Neovascular Membrane

Abstract

We report the case of a 62-year-old female diagnosed with Type 2A, Stage 5 macular telangiectasia (MacTel). The right eye showed a scarred choroidal neovascular membrane (CNVM) while the left eye had an active CNVM, confirmed with optical coherence tomography-angiography (OCT-A). She was treated with three doses of monthly intravitreal ziv-aflibercept in the left eye. Sequential OCT-A of the left eye showed regression of the neovascular complex with an improvement in visual acuity. OCT-A can be a useful imaging modality in the diagnosis and monitoring in cases of MacTel with CNVM.