The neovascular membrane, also known as the subretinal neovascular membrane (SNVM), is a serious ocular condition characterized by the abnormal growth of new blood vessels beneath the retina. These abnormal blood vessels can leak fluid and blood, damaging the retina and causing significant vision loss.

Causes of Neovascular Membrane

The exact cause is not always clear, but several factors can increase the risk of developing it, such as:

  • Wet Age-Related Macular Degeneration (AMD): Wet AMD is the most severe form of AMD and is characterized by the growth of abnormal blood vessels beneath the macula, the central part of the retina responsible for sharp vision.
  • Diabetes: Diabetes can damage the blood vessels in the eyes, including the retina, increasing the risk.
  • Retinal Vein Occlusions: Retinal vein occlusions occur when a vein in the retina is blocked, preventing normal blood flow. This can damage the retina and lead to the growth of new blood vessels.
  • Ocular Trauma: A blow or injury to the eye can damage the retina and increase the risk of a neovascular membrane.

Symptoms

The symptoms of this condition can appear suddenly or gradually and may include:

  • Vision Loss: Vision loss can be rapid and severe, affecting one or both eyes.
  • Blurred or Distorted Vision: Objects may appear blurry, wavy, or misshapen.
  • Spots or Dark Patches in Vision: Dark spots or patches may be seen in the vision, especially against light backgrounds.
  • Difficulty Seeing in Low Light Conditions: Night vision may be poor.

Diagnosis

To make an accurate diagnosis, a comprehensive eye examination is performed by an ophthalmologist. The examination may include:

  • Pupil Dilation: Dilation drops are used to widen the pupil for better visualization of the retina.
  • Blue Light Examination: Blue light can make abnormal blood vessels more visible.
  • Optical Coherence Tomography (OCT): OCT is a non-invasive imaging test that provides a detailed image of the retina and subretinal layer, allowing the ophthalmologist to detect the presence and extent of the neovascular membrane.
  • Fluorescein Angiography: This test uses a fluorescent dye to evaluate blood flow in the retina and detect abnormal blood vessels.