2016 - 6 Issue

Original article

Central Serous Chorioretinopathy as a Masquerading Syndrome of Choroidal Hemangioma

Veronika Matušková ORCID

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Published in Czech and Slovak Ophtalmology: 2016 - 6

Published on website: 02.12.2016

Keywords: hemangioma, central serous choroidoretinopathy, misdiagnosis, ablation of the neuroretina, macula, choroid

Summary

Introduction: The finding of the neuroretinal ablation in fovea centralis area on Optic Coherence Tomography (OCT) examination in young men is a typical finding for central serous choroidoretinopathy. This finding may masquerade the presence of the choroidal hemangioma.

Case report: The author presents case reports of two young men, in which, according to the finding of neuroretinal ablation on OCT, the diagnosis of central serous choroidoretinopathy was established. Using following examinations, especially fluorescence angiography, the correct diagnosis of choroidal hemangioma was set. In both patients, the photodynamic therapy with Visudyne was consequently indicated.

Conclusion: In young patients with slightly decreased visual acuity, neuroretinal ablation finding in the macula on OCT, and without the tendency to spontaneous improvement, it is necessary to keep in the mind the possible presence of choroidal hemangioma.

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