Comprehensive review of angioid streaks

Angioid streaks are irregular breaks in the brittle Bruch’s membrane and commonly present as pigmented linear lines radiating from the optic disc. They may be associated with systemic disease in up to 50% of the patients. Systemic diseases such as pseudoxanthoma elasticum, Paget’s disease, and hemog...

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Main Authors: Sindhuja Kandasamy, Nawazish Shaikh, Abhidnya Surve, Somya Kumari, Amber A. Bhayana, Pradeep Kumar, Rohan Chawla, Vinod Kumar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Indian Journal of Ophthalmology
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Online Access:https://journals.lww.com/10.4103/IJO.IJO_812_24
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author Sindhuja Kandasamy
Nawazish Shaikh
Abhidnya Surve
Somya Kumari
Amber A. Bhayana
Pradeep Kumar
Rohan Chawla
Vinod Kumar
author_facet Sindhuja Kandasamy
Nawazish Shaikh
Abhidnya Surve
Somya Kumari
Amber A. Bhayana
Pradeep Kumar
Rohan Chawla
Vinod Kumar
author_sort Sindhuja Kandasamy
collection DOAJ
description Angioid streaks are irregular breaks in the brittle Bruch’s membrane and commonly present as pigmented linear lines radiating from the optic disc. They may be associated with systemic disease in up to 50% of the patients. Systemic diseases such as pseudoxanthoma elasticum, Paget’s disease, and hemoglobinopathies are commonly associated with angioid streaks. However, they may be idiopathic in a small number of cases. Patients may be asymptomatic until complications such as choroidal neovascular membrane and subretinal hemorrhage involving the fovea develop. Due to the brittle nature of Bruch’s membrane, even minor trauma could lead to subretinal hemorrhage in these eyes. Diagnosis is commonly made through clinical examination and investigations such as fundus autofluorescence and optical coherence tomography. Treatment consists of management of the choroidal neovascular membrane commonly through intravitreal antivascular endothelial growth factor injections. In this review, we provide an overview of angioid streaks right from their epidemiology to their management.
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institution Kabale University
issn 0301-4738
1998-3689
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publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Ophthalmology
spelling doaj-art-38398403947946be8384a792ef6ba6342025-01-07T06:28:38ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-01-0173Suppl 1S47S5410.4103/IJO.IJO_812_24Comprehensive review of angioid streaksSindhuja KandasamyNawazish ShaikhAbhidnya SurveSomya KumariAmber A. BhayanaPradeep KumarRohan ChawlaVinod KumarAngioid streaks are irregular breaks in the brittle Bruch’s membrane and commonly present as pigmented linear lines radiating from the optic disc. They may be associated with systemic disease in up to 50% of the patients. Systemic diseases such as pseudoxanthoma elasticum, Paget’s disease, and hemoglobinopathies are commonly associated with angioid streaks. However, they may be idiopathic in a small number of cases. Patients may be asymptomatic until complications such as choroidal neovascular membrane and subretinal hemorrhage involving the fovea develop. Due to the brittle nature of Bruch’s membrane, even minor trauma could lead to subretinal hemorrhage in these eyes. Diagnosis is commonly made through clinical examination and investigations such as fundus autofluorescence and optical coherence tomography. Treatment consists of management of the choroidal neovascular membrane commonly through intravitreal antivascular endothelial growth factor injections. In this review, we provide an overview of angioid streaks right from their epidemiology to their management.https://journals.lww.com/10.4103/IJO.IJO_812_24angioid streakshemoglobinopathiespaget’s diseasepseudoxanthoma elasticum
spellingShingle Sindhuja Kandasamy
Nawazish Shaikh
Abhidnya Surve
Somya Kumari
Amber A. Bhayana
Pradeep Kumar
Rohan Chawla
Vinod Kumar
Comprehensive review of angioid streaks
Indian Journal of Ophthalmology
angioid streaks
hemoglobinopathies
paget’s disease
pseudoxanthoma elasticum
title Comprehensive review of angioid streaks
title_full Comprehensive review of angioid streaks
title_fullStr Comprehensive review of angioid streaks
title_full_unstemmed Comprehensive review of angioid streaks
title_short Comprehensive review of angioid streaks
title_sort comprehensive review of angioid streaks
topic angioid streaks
hemoglobinopathies
paget’s disease
pseudoxanthoma elasticum
url https://journals.lww.com/10.4103/IJO.IJO_812_24
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AT amberabhayana comprehensivereviewofangioidstreaks
AT pradeepkumar comprehensivereviewofangioidstreaks
AT rohanchawla comprehensivereviewofangioidstreaks
AT vinodkumar comprehensivereviewofangioidstreaks