Czech and Slovak Ophthalmology 421 Original article Central Serous Chorioretinopathy as a Masquerading Syndrome of Choroidal Hemangioma Matušková Veronika https://orcid.org/0000-0002-3308-463X 2 12 2016 6 3

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.

 hemangioma central serous choroidoretinopathy misdiagnosis ablation of the neuroretina macula choroid References Baráková, D. a kol.: Nádory oka, Praha, Grada, 2002, 152 s. Berry, M., Lucas, LJ.: Circumscribed choroidal hemangioma: A case report and literature review. J Optom.,10; 2016 [Epub ahead of print]. Cihelková, I., Souček, P.: Atlas makulárních chorob, Praha, Galén, 2005, 520 s. Dave, T., Dave, VP., Shah, G., Pappuru, RR.: Diffuse choroidal hemangioma masquerading as central serous chorioretinopathy threated with oral propranolol. Retina Cases Brief Rep, 10; 2016: 11–14. Kanski, J. (E d): Clinical Ophthalmology, Curr Opin Ophthalmol, 14; 2003 :142– 149. Karimi, S., Nourinia, R., Mashayekhi, A.: Circumscribed Choroidal Hemangioma. J Ophthalmic Vis Res.,10; 2015: 320–328. Madreperla, SA., Hungerford, JL., Plowman, PN. et al.: Choroidal hemangiomas: visual and anatomic results of treatment by photocoagulation or radiation therapy. Ophthalmology, 104; 1997: 1773–1778. Mashayekhi, A., Shields, CL.: Cir - cumscribed choroidal hemangioma. Rahman, W., Horgan, N., Hungerford, J.: Circumscribed choroidal haemangioma mimicking chronic central serous chorioretinopathy. J Fr Ophthalmol, 36, 2013: e37–40. Shields, CL., Honavar, SG., Shields, JA. et al.: Circumscribed choroidal hae- mangioma: clinical manifestations and factors predictive of visual outcome in 200 consecutive cases. Ophthalmology, 109; 2002: 2237–2248.