Polypoidal lesions associated to choroidal naevus: spectrum of pachychoroid disease?

BMJ Case Reports
Rossella AnzideiJames Deane

Abstract

A 78-year-old woman was referred by an optician for an incidental finding of peripapillary naevus in the absence of visual symptoms. On examination, the right eye showed a choroidal naevus of around 1.5 disc diameter, adjacent to the optic disc. Optical coherence tomography detected the presence of pigment epithelium detachment and subretinal fluid within the context of the naevus. Fundus fluorescein angiography and indocyanine green showed multiple polypoidal lesions (Polypoidal Choroidal Vasculopathy, PCV) in the choroid within the spectrum of a pachychoroid, without any sign of malignancy related to neovascularisation. The patient underwent a follow-up of 6 months, showing stability of the lesions over this timeframe. No treatment has been required since the polypoidal lesions were outside the fovea and visual acuity remained stable. The association between choroidal naevi and polypoidal lesions is rare1; however, this seems to confirm that these findings are part of the spectrum of pachychoroid disease.

References

Dec 9, 2009·Ophthalmology·Helen K LiJerry A Shields
May 21, 2013·The British Journal of Ophthalmology·Vasilios P PapastefanouMandeep S Sagoo
Dec 3, 2014·American Journal of Ophthalmology·Jasmine H FrancisK Bailey Freund
Jan 22, 2015·Case Reports in Ophthalmology·Kazunobu AsaoKohji Nishida
Nov 26, 2015·Ophthalmic Surgery, Lasers & Imaging Retina·Gabriella De SalvoMandeep S Sagoo
Jul 30, 2016·Clinical Ophthalmology·Mrinali Patel GuptaSzilard Kiss
Mar 1, 2017·International Medical Case Reports Journal·James G WongJeremy B Smith
Apr 18, 2017·Case Reports in Ophthalmology·Joel HanhartYaakov Rozenman

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