Eccentric Choroidal Neovascularization

This is a montage of color fundus photographs from the left eye of an 84-year-old female patient with eccentric choroidal neovascularization (CNV). There is evident subretinal hemorrhage and lipid highlighted by the red arrow. The yellow arrow indicates macular subretinal scarring associated with old choroidal neovascularization. Some areas of the subretinal scarring feature pigment hyperplasia (green arrows). Additionally, there are multiple areas of relative choroidal atrophy with more easily seen subjacent white sclera (blue arrows). Eccentric choroidal neovascularization is sometimes misdiagnosed as a choroidal melanoma. Small manifestations may be observed. If hemorrhage or exudation is extensive, intravitreal injections of anti-VEGF drugs are effective at rendering the complexes inactive.