File:Multimodal Imaging of Choroidal Macrovessel.jpg

(A) Color fundus photograph demonstrating a yellow-white pigmentary change in the macula, indicated by the red arrow. (B) Spectral-domain optical coherence tomography (SD-OCT) cross-section showing a hyporeflective choroidal lesion with posterior shadowing, overlying retinal elevation, and retinal pigment epithelium (RPE) disruption. (C) OCT Angiography (OCTA) revealing an aberrant choroidal vessel with abnormal vascular flow at the level of the choroid. The red and purple overlays indicate vascular flow patterns within the different retinal and choroidal layers. (D) En face OCT scan highlighting the tortuous nature of the macrovessel within the choroidal vasculature. (E) 3D reconstruction of OCTA demonstrating the course and depth of the macrovessel within the choroid, resembling a larger and more prominent choroidal vessel. (F) Fluorescein angiography (FA) shows no significant leakage. (G) Indocyanine green angiography (ICGA), early phase, illustrating the persistent hyperfluorescence of the vessel, consistent with the arterial nature of the lesion.