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Clinical-Medical Image - International Journal of Clinical & Medical Images (2023) Volume 10, Issue 1
Author(s): Akioud Wafae*, Mouzari Yassine and Oubaaz Abdelbarre
Department of Ophthalmology, Mohammed Vth military hospital, Ryad Street, 10010 Rabat, Morocco
Date of Submission: 03 January, 2023, Manuscript No. ijcmi-23-85241; Editor assigned: 04 January, 2023, 2023, PreQC No. P-85241; Reviewed: 19 January, 2023, QC No. Q-85241; Revised: 22 January, 2023, Manuscript No. R-85241; Published: 01 February, 2023, DOI: 10.4172/2376-0249.1000872
Citation: Wafae A, Yassine M and Abdelbarre O. (2023) Manifest Bilateral Angioid Streaks! Int J Clin Med Imaging 10:872.
Copyright: © 2023 Wafae A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Angioid streaks are irregular, deep, narrow lines that form due to breaks in a degenerated Bruch’s membrane. They typically emanate radially outward from the optic nerve. Angioid streaks are commonly associated with systemic diseases such as pseudoxanthoma elasticum, Paget’s disease, Ehler-Danlos syndrome and some hemoglobinopathies [1]. The incidence of angioid streaks is of 3% in association with some disease and almost 100% in association with pseudoxanthoma elasticum [2]. The diagnosis is usually clinical. Most patients are asymptomatic; however, they may develop significant complications due to the emergence of choroidal neovascularization. Angioid streaks could appear spontaneously or be secondary to even a mild trauma.The differential diagnosis are choroidal rupture, Lacquer cracks in pathologic myopia and toxoplasmosis. When asymptomatic, angioid streaks require only periodic observation. However, if choroidal neovascularization occurs, some specific treatments may be required such as intravitreal injections of anti-VEGF and retinal photocoagulation [3]. The general management of angioid streaks should also include the underlying associated systemic disease if existing and must be adjusted to each individual case. The images show a retinal photography of asymptomatic bilateral manifest angioid streaks in a 52 years old woman with no medical history.
Angioid streaks; Bruchs membrane; Pseudoxanthoma elasticum; Retina
[1] Singman, EL and Doyle JJ. "Angioid streaks are not a common feature of Ehlers-Danlos syndrome.” JAMA Ophthalmol 137 (2019): 239-239.
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[2] Chatziralli I, Saitakis G, Dimitriou E, Chatzirallis A and Stoungioti S, et al. ANGIOID STREAKS: A Comprehensive review from pathophysiology to treatment. Retina 39 (2019):1-11.
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[3] Risseeuw S. “The extent of angioid streaks correlates with macular degeneration in Pseudoxanthoma Elasticum.” Am J Ophthalmol 20 (2020): 82-90
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