A Masquerade Case: Choroidal Hemangioma Misdiagnosed As Central Serous Retinopathy

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. Fundus images revealed a subtle, elevated choroidal lesion with an associated exu...

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Bibliographic Details
Published inInternational medical case reports journal Vol. 16; pp. 239 - 244
Main Authors Lai, Leo, Javier, Therese, Lee, Sol, Gallemore, Ron P
Format Journal Article
LanguageEnglish
Published New Zealand Dove Medical Press Limited 01.01.2023
Taylor & Francis Ltd
Dove
Dove Medical Press
Subjects
Angiography
Bromfenac
Cancer
Case Report
csr (central serous retinopathy)
diagnostic testing
Difluprednate
Dyes
Edema
Hemangioma
macular edema
Medical imaging
Neovascularization
Patients
Photochemotherapy
Retinal detachment
subretinal fluid
Tomography
Ultrasonic imaging
Vascular endothelial growth factor
subretinal fluid
macular edema
CSR
diagnostic testing
central serous retinopathy
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Summary: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. 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. 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.
ISSN:1179-142X
1179-142X
DOI:10.2147/IMCRJ.S398844