Fuchs spot
Degeneration of the macula
From Wikipedia, the free encyclopedia
The Fuchs spot (also known as Förster-Fuchs' Spot[1]) is a degeneration of the macula in cases of high myopia. It is named after the two persons who first described it: Ernst Fuchs, who described a pigmented lesion in 1901, and Forster, who described subretinal neovascularization in 1862.[2] It occurs due to proliferation of retinal pigment epithelium associated with choroidal hemorrhage.[1] The size of the spots are proportionate to the severity of the pathological myopia.[citation needed]
| Fuchs spot | |
|---|---|
| Other names | Forster-Fuchs' retinal spot |
| |
| An optical coherence tomography (OCT) of the retina, showing a Fuchs spot | |
Symptoms and signs
First signs of a Fuchs spot are distorted sight of straight lines near the fovea, which some days later turn to the typical well-circumscribed patches after absorption of haemorrhage, and a pigmented scar remains. As in macular degeneration, central sight is affected. Atrophy leads to the loss of two or more lines of the Snellen chart.[citation needed]
Diagnosis
Treatment
Fuchs spots are caused by regression of choroidal neovascularization.[3] Since it is a medical sign, treatment is given for the actual cause. Photothermal laser ablation, photodynamic therapy, anti-VEGF therapy, or a combination of these are the treatment options of choroidal neovascularization due to pathological myopia.[3][1]