Back to Search
Start Over
Three Cases of Focal Choroidal Excavation in the Macula Detected by Spectral-Domain Optical Coherence Tomography
- Source :
- Journal of the Korean Ophthalmological Society. 55:941
- Publication Year :
- 2014
- Publisher :
- Korean Ophthalmological Society, 2014.
-
Abstract
- Purpose: To report the clinical finding of 3 patients with focal choroidal excavation in the macula detected by spectral-domain optical coherence tomography (SD-OCT). Case summary: Five eyes of 3 patients with focal choroidal excavation detected by SD-OCT were enrolled in the present study. All patients had myopia (average refractive power -5.60 diopter). Two of the 3 patients had focal choroidal excavation in both eyes. All 5 eyes revealed foveal pigmentary changes on fundus examination. The excavation area in the autofluorescence image was hypofluorescent. Fluorescein angiographic finding was normal to various degrees of hyperfluoresence. Indocyanine green angiography revealed hypofluoresence at the excavation area. The excavation involoved from the retinal pigment epithelium layer to the external limiting membrane or outer nuclear layer and average choroidal thickness at excavation were statistically thinner than the uninvolved area based on SD-OCT (p = 0.002). Retinoschisis, serous pigment epithelial detachment and choroidal neovascularziation (CNV) were detected individually in 3 eyes. The other 2 eyes had no specific abnormalities. Conclusions: During the follow-up period, the choroidal excavation remained relatively stable in 4 of 5 eyes, but CNV developed in 1 eye. Therefore, intravitreal bevacizumab injection was performed. Longer follow-up periods are necessary to determine the etiology, clinical course and visual prognosis of eyes with focal choroidal excavation. J Korean Ophthalmol Soc 2014;55(6):941-946
- Subjects :
- medicine.medical_specialty
Retinal pigment epithelium
genetic structures
medicine.diagnostic_test
business.industry
Retinoschisis
Fundus (eye)
medicine.disease
eye diseases
Surgery
Ophthalmology
Autofluorescence
medicine.anatomical_structure
Optical coherence tomography
medicine
sense organs
business
Outer nuclear layer
External limiting membrane
Dioptre
Subjects
Details
- ISSN :
- 20929374 and 03786471
- Volume :
- 55
- Database :
- OpenAIRE
- Journal :
- Journal of the Korean Ophthalmological Society
- Accession number :
- edsair.doi...........39c39bba609d2c3095026218a0574a6a
- Full Text :
- https://doi.org/10.3341/jkos.2014.55.6.941