A Case of Focal Choroidal Excavation Associated with Chronic Central Serous Chorioretinopathy

Woo Jin Kim; Nam Chun Cho; Eui Yong Kweon

doi:10.7469/JKOS.2015.56.04.627

Journal List > J Korean Ophthalmol Soc > v.56(4) > 1010258

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Kim, Cho, and Kweon: A Case of Focal Choroidal Excavation Associated with Chronic Central Serous Chorioretinopathy

Original Article

J Korean Ophthalmol Soc 2015;56(4):627-631.

Published online: 7 September 2015

DOI: https://doi.org/10.7469/JKOS.2015.56.04.627

A Case of Focal Choroidal Excavation Associated with Chronic Central Serous Chorioretinopathy

Woo Jin Kim, MD, Nam Chun Cho, MD, Eui Yong Kweon, MD

Department of Ophthalmology, Chonbuk National University Medical School, Jeonju, Korea

￭ Address reprint requests to Eui Yong Kweon, MD Department of Ophthalmology, Chonbuk National University Hospital, #20 Geonji-ro, Deokjin-gu, Jeonju 561-712, Korea Tel: 82-63-250-2477, Fax: 82-63-250-1960 E-mail: key@jbnu.ac.kr

Received 31 October 20148 December 2014 Accepted 7 March 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

초록

Purpose:

To report a case of focal choroidal excavation associated with central serous chorioretinopathy.

Case summary:

A 48-year-old female presented with a 20-year history of visual disturbance. Focal choroidal excavation with neurosensory retinal detachment was detected in the right eye on optical coherence tomography. Fluorescein angiography showed hyperfluorescene in the area of excavation and multiple focal hyperfluorescences in the perimacular area. Vertically linear hyperfluorescene line was detected in the excavated area caused by retinal pigment epithelial atrophy. Based on the 2 diagnostic findings, we diagnosed a focal choroidal excavation with central serous chorioretinopathy. No progression was detected for 2 months.

Keywords: Central serous chorioretinopathy, Focal choroidal excavation, Optical coherence tomography

References

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Figure 1.

Color photographs of the right eye (A) shows focal retinal pigment epithelial atrophic change on foveal area. Left eye (B) shows no abnormal sign on foveal area.

Figure 2.

Focal choroidal excavation with neurosensory retinal detachment is detected on SD-OCT. Hyperreflective un-usual subfoveal choroidal tissue (red arrow) is detected be-neath the excavation. SD-OCT = spectral-domain optical coherence tomography.

Figure 3.

Hyperfluorescene is detected on the foveal area and multiple focal hyperfluorescences are detected on perimacular area. Hyperfluorescence is not stained from the early (A) to late (B) phase. Vertically linear hyperfluorescene line is detected from the foveal area caused by retinal pigment epithelial atrophy (C).

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