Dr. (Mrs.) KULKARNI SHILPA

Dr. (Mrs.) KULKARNI SHILPA, Dr.Rahul Shah

Abstract

Abstract: Macular Bruch Membrane hole is a characteristics feature of Myopic Chorioretinal atrophy secondary to CNV atrophy at the fovea. On OCT findings, there is an absence of Bruch membrane, Retinal pigment epithelium, ellipsoid zone and choriocapillaris. There is folding of Bruch membrane at the edges of macular Bruch membrane defect, and the RPE gets upturned. There is also marked thinning of the overlying inner retina. However, Bruch membrane defect is also found in patchy atrophy (chorioretinal atrophy) outside of fovea with myopic maculopathy. It occurs as a result of the rupture of Bruch membrane due to localised structural failure because of the mechanical stress on the Bruch membrane.

We reported a case of Bruch membrane defect in patchy Chorioretinal atrophy in the macula seen on OCT in a case of unilateral high myopia.

Key words: CNV Choroidal Neovascular Membrane, OCT Optical Coherence Tomography.