gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

Retinal angiomatous proliferation: a masquerade-syndrome? : A case report

Meeting Abstract

  • corresponding author D. Süsskind - Department of Ophthalmology, University, Tübingen
  • F. Gelisken - Department of Ophthalmology, University, Tübingen
  • S. Grisanti - Department of Ophthalmology, University, Tübingen
  • M. Spitzer - Department of Ophthalmology, University, Tübingen
  • K. U. Bartz-Schmidt - Department of Ophthalmology, University, Tübingen

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogP 143

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Veröffentlicht: 22. September 2004

© 2004 Süsskind et al.
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Retinal angiomatous proliferation (RAP) is one subgroup of neovascular age-related macular degeneration. Angiomatous proliferation originates from the retina and extends into the subretinal space. Retinal hemorrhages can complicate the diagnosis of this maculopathy.


A 74-year-old patient was presented after uncomplicated cataract surgery with the diagnosis of a retinal venous branch occlusion of his left eye and a neovascular age-related macular degeneration of his right eye.


At first presentation the best corrected visual acuity was 0,4 on the right and 0,5 on the left eye. On ophthalmoscopy, a hemorrhagic detachment of the pigment epithelium was detected in the right eye. In the left eye, a circumcribed edema of the neurosensory retina with a striate hemorrhage above the fovea and numerous drusen was seen. Fluorescein angiography revealed a detachment of the pigment epithelium and a round diffuse hyperfluorescence superior to the macula on the right eye and a poorly demarcated late hyperfluorescence above the macula on the left eye. There were no dilated vessels or collateral vessels. Indocyanine green angiography showed an early hyperfluorescence (hot spot) consistent with a retinochoroidal anastomosis above the macula in the right eye and a hot spot above the macula in the left eye.


Early changes of the fundus in the area of the RAP are dilated vessels, pre-, intra- and subretinal hemorrhages and exsudates which can be misinterpreted as a retinal venous branch occlusion. Indocyanine green angiography is an important diagnostic tool in differential diagnosis of RAP.