A Masquerade Case: Choroidal Hemangioma Misdiagnosed As Central Serous Retinopathy

Abstract

Leo Lai, Therese Javier, Sol Lee, Ron P Gallemore Department of Clinical Research, Retina Macula Institute, Torrance, CA, USACorrespondence: Ron P Gallemore, Department of Clinical Research, Retina Macula Institute, 4201 Torrance Blvd, Torrance, CA, 90503, USA, Tel +1 310 - 944 – 9393, Fax +1 310 - 944 – 3393, Email [email protected]: 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.Keywords: macular edema, subretinal fluid, CSR, central serous retinopathy, diagnostic testing

Keywords

• macular edema
• subretinal fluid
• csr (central serous retinopathy)
• diagnostic testing