Correlation between focal choroidal excavation and underlying retinochoroidal disease

Purpose: To report a case of choroidal osteoma associated with reactivation of choroidal neovascularization (CNV) and development of focal choroidal excavation (FCE). Case Report: A 34-year-old woman with choroidal osteoma complicated by CNV in the right eye for two years presented with deterioration of visual acuity in her right eye. A small retinal hemorrhage accompanied by subretinal fluid (SRF) was seen in the macular area of the right eye. Optical coherence tomography (OCT) showed that the inner retina was intact, and the outer retinal layers had outward displacement. SRF and a wedge-shaped choroidal depression were also seen. This choroidal excavation was not present on previous OCT images. The integrity of the inner retinal layers was maintained, and an optically clear space was present between the neurosensory retina and the retinal pigment epithelium. Conclusion: Choroidal osteoma can be complicated by CNV and FCE could occur as a consequence. Again, FCE can lead to CNV development. This cascade can deteriorate vision and sometime lead to permanent visual loss.

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Two Cases of Focal Choroidal Excavation Detected by Spectral-Domain Optical Coherence Tomography

Case Reports in Ophthalmology ◽

10.1159/000337880 ◽

2012 ◽

Vol 3 (1) ◽

pp. 96-103 ◽

Cited By ~ 20

Author(s):

Takashi Katome ◽

Yoshinori Mitamura ◽

Fumika Hotta ◽

Masanori Niki ◽

Takeshi Naito

Keyword(s):

Optical Coherence Tomography ◽

Spectral Domain ◽

Optical Coherence ◽

Focal Choroidal Excavation

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Focal choroidal excavation associated with nonmelanocytic iris tumor

European Journal of Ophthalmology ◽

10.1177/11206721211073210 ◽

2022 ◽

pp. 112067212110732

Author(s):

Andrea Montesel ◽

Chiara M. Eandi ◽

Leonidas Zografos

Keyword(s):

Visual Function ◽

Stromal Tumor ◽

Case Description ◽

Instrumental Evaluation ◽

Size And Shape ◽

Macular Lesion ◽

Focal Choroidal Excavation ◽

Iris Tumor ◽

Ophthalmologic Examination

Purpose To describe a unique unilateral association between an iris stromal tumor and a macular focal choroidal excavation. Case Description A 40-year old patient presented with a small iris tumor associated with a unilateral macular lesion disclosed during a routine ophthalmologic examination. The patient was asymptomatic and visual function was not affected. After clinical and instrumental evaluation, a diagnosis of nonmelanocytic undefined stromal tumor of the iris associated with macular focal choroidal excavation was made. The size and shape of the two lesions remained stable during a 7-year follow-up and the patient did not develop other signs. Conclusion The concurrent presence of a stromal iris tumor associated with focal choroidal excavation has never been reported. Further reports of this association are required in order to understand its exact pathogenesis.

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