A Masquerade Case: Choroidal Hemangioma Misdiagnosed As Central Serous Retinopathy.

Int Med Case Rep J

Department of Clinical Research, Retina Macula Institute, Torrance, CA, USA.

Published: April 2023

Purpose: To report a case of misdiagnosed choroidal hemangioma, initially treated as central serous retinopathy (CSR) complicated by choroidal neovascularization (CNV), and to improve the proper identification of this disorder.

Observations: Fundus images revealed a subtle, elevated choroidal lesion with an associated exudative detachment and choroidal vascular lesion on indocyanine green (ICG) angiography. Combined treatment with photodynamic therapy (PDT) and anti-VEGF therapy led to resolution of fluid and improvement in VA from 20/50 to 20/25.

Conclusion: It is critical to understand the clinical features of choroidal hemangiomas and their physical presentation on retinal testing to diagnose and treat them in a timely and appropriate manner.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10082599PMC
http://dx.doi.org/10.2147/IMCRJ.S398844DOI Listing

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