Retinal fundus examination may reveal grey or dark red spoke like lesions around optic disk and radiating outward from peripapillary area.

[1] The diagnosis is mainly clinical, however fundus fluorescein angiography shows that the streaks appear hyperfluorescent (window defect) in the early phase.

[6] Management of angioid streaks starts with complete medical checkup to rule out underlying systemic associations.

[3] If choroidal neovascularization is present, treatment options like anti-VEGF medication, laser photocoagulation, photodynamic therapy, transpupillary thermotherapy, macular translocation surgery etc.

In 1892, ophthalmologist Hermann Jakob Knapp called them "angioid streaks"[4] because of their resemblance to blood vessels.