Abstract

To report four examples of a novel optical coherence tomography finding, which appears to be characteristic of inflammatory choroidal neovascularization. Retrospective observational case series. Four eyes of four patients were diagnosed clinically with inflammatory choroidal neovascularization and underwent optical coherence tomography. In each case, imaging revealed multiple, distinctive finger-like projections extending from the area of active choroidal neovascularization into the outer retina-the "pitchfork sign"--a finding not typically seen in Type 2 neovascularization due to other etiologies. The pitchfork sign may help distinguish inflammatory choroidal neovascularization from other causes of Type 2 neovascularization.

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