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May 2, 2026Russian Annals of Ophthalmology0 citations

Angioid streaks of the retina: diagnosis and treatment

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YYYu YusefIAI V AndreevaWHW Hamza

Key Points

  • To review current knowledge on angioid streaks, including their diagnosis, associated diseases, and treatment options.
  • Literature review of epidemiology, etiology, and pathogenesis of angioid streaks and related conditions.
  • Evaluation of diagnostic techniques including clinical examination and imaging methods.
  • Analysis of treatment approaches, particularly anti-angiogenic therapy and their complications.
  • Angioid streaks are often linked to systemic conditions and can lead to significant visual impairment.
  • Choroidal neovascularization and retinal pigment epithelium atrophy are common complications of angioid streaks.
  • Anti-angiogenic therapy shows promise but comes with potential treatment-related complications.

Abstract

Angioid streaks (AS) are irregular breaks in a calcified Bruch's membrane that appear as pigmented linear lesions radiating from the optic disc. In approximately 50% of cases, AS are associated with systemic diseases such as pseudoxanthoma elasticum, Paget's disease, various hemoglobinopathies, and they may also be idiopathic. Visual impairment in patients with AS is primarily related to the development of choroidal neovascularization along the streaks, followed by retinal pigment epithelium atrophy. Diagnosis of AS is based on clinical examination and modern imaging methods. This literature review summarizes current data on the epidemiology, etiology, and pathogenesis of diseases associated with AS, as well as treatment approaches, including anti-angiogenic therapy, and their potential complications.

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Cite This Study

Yusef et al. (2026) studied this question.

synapsesocial.com/papers/69f593f271405d493affec5dhttps://doi.org/10.17116/oftalma202614202192
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