We highlight the use of multimodal imaging to diagnose and report what is, to our knowledge, a novel presentation of bilateral choroidal neovascularization (CNV) and prominent macular choroidal folds (CFs) in a patient with pattern dystrophy. An 81-year-old Caucasian male presented with painless, blurry central vision in both eyes. Color fundus photography, spectral-domain optical coherence tomography (SD-OCT), fluorescein angiography (FA), fundus autofluorescence, and brightness scan ultrasonography supported the diagnosis of pattern dystrophy with bilateral CNV and CF. In the right eye, visually significant CNV worsened post-bevacizumab treatment but responded well to aflibercept. During 4-year follow-up, Snellen visual acuity remained excellent in both eyes at 20/20, including the treatment-naïve left eye. CFs remained markedly stable in both eyes.
Case Rep Ophthalmol 2021;12:585–593

中文翻译：

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双侧脉络膜褶皱病例的多模态成像

我们强调使用多模态成像来诊断和报告模式性营养不良患者双侧脉络膜新生血管 (CNV) 和突出的黄斑脉络膜皱襞 (CF) 的新表现。一名 81 岁的白人男性因双眼无痛、中心视力模糊就诊。彩色眼底摄影、光谱域光学相干断层扫描 (SD-OCT)、荧光血管造影 (FA)、眼底自发荧光和亮度扫描超声检查支持双侧 CNV 和 CF 模式营养不良的诊断。在右眼，视觉上显着的 CNV 在贝伐单抗治疗后恶化，但对阿柏西普反应良好。在 4 年的随访期间，Snellen 双眼的视力在 20/20 时保持出色，包括未经治疗的左眼。
Case Rep Ophthalmol 2021；12:585–593