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This patient with macular drusen presented with right visual deterioration and distortion. The fluorescein angiogram has the above appearance.

What does the picture show?

Answer
Juxtafoveal subretinal neovascular membrane.
 

What other conditions, apart from age-related macular degeneration, can give rise to this appearance?

Answer
Other causes of subretinal neovascular membrane:
High myopia
Angioid streaks
Presumed ocular histoplasmosis syndrome
Punctate inner choriodopathy
Laser phtocoagulation
Choroidal naevus or melanoma
Choroidal rupture
Retinitis pigmentosa

 
 

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