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A Bum Rap for a Difficult Disease

Arch Ophthalmol. 2005;123:1741-1743.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Anastomosis of retinal vessels to lesions of choroidal neovascularization (CNV), especially in age-related macular degeneration (AMD), has been recognized histopathologically¹ and given many names when recognized clinically.^2-5 The term chorioretinal anastomosis⁵ has been used to describe these anastomoses. However, because the retinal vessels may connect to subretinal neovascularization rather than to neovascularization beneath the retinal pigment epithelium, there may be no connection with the choroid. Thus, this term may not be accurate in all cases. The term retinal angiomatous proliferans (RAP), as coined by Yannuzzi et al,³ has become widely accepted to describe these features, as has been done in the article by Bottoni et al⁶ in this issue of the ARCHIVES. However, this term may not be accurate all of the time. There is no histopathologic correlate to suggest that retinal vessels anastomosing with CNV have angiomalike features, nor has any histopathologic abnormality, to my knowledge, shown . . . [Full Text of this Article]

AUTHOR INFORMATION
Neil M. Bressler, MD

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Treatment of Retinal Angiomatous Proliferation in Age-Related Macular Degeneration: A Series of 104 Cases of Retinal Angiomatous Proliferation
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Arch Ophthalmol. 2005;123(12):1644-1650.
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