PMID- 32999681 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201002 IS - 1663-2699 (Print) IS - 1663-2699 (Electronic) IS - 1663-2699 (Linking) VI - 11 IP - 2 DP - 2020 May-Aug TI - Optical Coherence Tomography Findings (SD-OCT and OCTA) in Early-Stage Type 3 Neovascularization. PG - 493-499 LID - 10.1159/000509139 [doi] AB - A 76-year-old male presented with a small hyperreflective density in the outer nuclear layer with subtle retinal pigment epithelium (RPE) elevation and few intraretinal cysts on spectral-domain optical coherence tomography (SD-OCT). Optical coherence tomography angiography (OCTA) confirmed the presence of a tuft-shaped intraretinal neovascular lesion. SD-OCT performed 2 months before showed a smaller RPE elevation at the same location without intraretinal fluid. A 79-year-old male presented with a small hyperreflective density in the outer retina surrounded by scant intraretinal fluid on SD-OCT and a bright vessel on OCTA, suggesting early-stage type 3 neovascularization. SD-OCT performed 2 months before showed a smaller hyperreflectivity at the same location, without intraretinal fluid. An 84-year-old female presented with hyperreflective foci in the outer retina overlying a serous pigment epithelium detachment (PED) with focal RPE disruption on SD-OCT. SD-OCT performed 2 months before showed the same hyperreflective lesion associated with a shallower PED. No neovascular lesions were found on OCTA after six injections of bevacizumab. To conclude, careful evaluation of SD-OCT allows for early detection of type 3 neovascularization at a pre-exudative stage. OCTA may be useful in confirming the presence of intraretinal neovascular lesion and monitoring response to anti-vascular endothelial growth factor agents. CI - Copyright (c) 2020 by S. Karger AG, Basel. FAU - Silva, Nisa AU - Silva N AD - Servico de Oftalmologia, Centro Hospitalar e Universitario do Porto, Porto, Portugal. FAU - Marta, Ana AU - Marta A AD - Servico de Oftalmologia, Centro Hospitalar e Universitario do Porto, Porto, Portugal. FAU - Baptista, Pedro AU - Baptista P AD - Servico de Oftalmologia, Centro Hospitalar e Universitario do Porto, Porto, Portugal. FAU - Furtado, Maria Joao AU - Furtado MJ AD - Servico de Oftalmologia, Centro Hospitalar e Universitario do Porto, Porto, Portugal. FAU - Lume, Miguel AU - Lume M AD - Servico de Oftalmologia, Centro Hospitalar e Universitario do Porto, Porto, Portugal. LA - eng PT - Case Reports DEP - 20200819 PL - Switzerland TA - Case Rep Ophthalmol JT - Case reports in ophthalmology JID - 101532006 PMC - PMC7506272 OTO - NOTNLM OT - Age-related macular degeneration OT - Early-stage type 3 macular neovascularization OT - Optical coherence tomography COIS- The authors have no conflicts of interest to declare. EDAT- 2020/10/02 06:00 MHDA- 2020/10/02 06:01 PMCR- 2020/08/19 CRDT- 2020/10/01 05:37 PHST- 2020/04/02 00:00 [received] PHST- 2020/06/03 00:00 [accepted] PHST- 2020/10/01 05:37 [entrez] PHST- 2020/10/02 06:00 [pubmed] PHST- 2020/10/02 06:01 [medline] PHST- 2020/08/19 00:00 [pmc-release] AID - cop-0011-0493 [pii] AID - 10.1159/000509139 [doi] PST - epublish SO - Case Rep Ophthalmol. 2020 Aug 19;11(2):493-499. doi: 10.1159/000509139. eCollection 2020 May-Aug.