This is a beautiful Optos image of a 67YO female with counting finger vision 1-week following pars plana vitrectomy for a breakthrough vitreous hemorrhage.
There is a rim of dark yellow vitreous skirt, resolving devitalized subretinal blood, and elevated subretinal fibrotic scarring.
Learning Points:
Ectopic choroidal neovascularization (CNV), also known as peripheral exudative hemorrhagic chorioretinopathy, is an exudative process similar to wet AMD but located in the retinal periphery.
Ectopic CNV can often masquerade as a choroidal mass or uveal melanoma. It can also cause extensive choroidal/suprachoroidal, subretinal, and vitreous hemorrhage, more commonly in patients who are on blood thinners.
The subretinal blood often spontaneously regresses without treatment, although anti-VEGF injections can be used for symptomatic or increasing exudation.
