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Alizadeh Y, Dourandeesh M. Peripapillary Choroidal Neovascularization Type 2 With Pitchfork Sign: A Case Report. JOVR [Internet]. 2023Nov.30 [cited 2024May14];18(4):441–444. Available from: https://knepublishing.com/index.php/JOVR/article/view/14557

https://doi.org/10.18502/jovr.v18i4.14557

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authors

  • Yousef Alizadeh

    Yousef Alizadeh

    Eye Research Center, Department of Eye, Amiralmomenin Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
  • Maryam Dourandeesh

    Maryam Dourandeesh

    Eye Research Center, Department of Eye, Amiralmomenin Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran

Published Date

  • Nov 30, 2023
This journal is publishing all the articles under Creative Commons Attribution License CC BY 4.0.

Peripapillary Choroidal Neovascularization Type 2 With Pitchfork Sign: A Case Report

Journal of Ophthalmic and Vision Research (JOVR) / Oct–Dec 2023, Volume 18, Issue 4 / Pages 441–444

Abstract

Purpose: This study aimed to report a case of peripapillary choroidal neovascularization (CNV) with a pitchfork sign.
Case Report: A young female presented with a progressive and painless visual blurring of the left eye. Ophthalmoscopic findings and results of optical coherence tomography (OCT), OCT angiography (OCTA), and fluorescein angiography (FAG) were evaluated. OCT showed subretinal hyperreflective material adjacent to the optic nerve head with multiple vertical finger-like projections extending into the outer retina (pitchfork sign). OCTA revealed that seafan-shaped high-flow vessels above the retinal pigment epithelium (RPE) were compatible with CNV type 2 with a large feeder vessel completely contiguous with the optic nerve. No evidence of ocular or systemic inflammation was found.
Conclusion: Pitchfork sign can be seen in CNV type 2 in either inflammatory or noninflammatory conditions.

Keywords:

Choroidal Neovascularization Type 2, Optical Coherence Tomography, Peripapillary Choroidal Neovascularization, Pitchfork Sign

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