Role of Spectralis HRA+OCT spectral domain optical coherence tomography in the diagnosis and management of fungal choroidal granuloma

Ocul Immunol Inflamm. 2010 Oct;18(5):408-10. doi: 10.3109/09273948.2010.498656.

Abstract

Objective: To report the usefulness of inverted scan technique using Spectral domain Optical Coherence Tomography (OCT) in inflammatory fungal chorioretinitis.

Design: Case Report-Interventional.

Methods: We present a 53 year old female with sudden painful blurring of vision in left eye. Ocular examination revealed retinochoroiditis.OCT using the inverted scan technique showed a choroidal mass lesion. Polymerase chain reaction was positive for panfungal genome. She was treated with systemic fluconazole.

Results: Symptoms improved and the choroidal mass was diminished in size after one week of therapy.

Conclusions: Inverted OCT scan technique is useful in the diagnosis and management of choroidal inflammatory mass lesion.

Publication types

  • Case Reports

MeSH terms

  • Administration, Oral
  • Antifungal Agents / administration & dosage
  • Chorioretinitis / diagnosis
  • Chorioretinitis / microbiology*
  • Choroid Diseases / diagnosis*
  • Choroid Diseases / microbiology*
  • Drug Administration Schedule
  • Female
  • Fluconazole / administration & dosage
  • Fundus Oculi
  • Granuloma / diagnosis*
  • Granuloma / microbiology*
  • Humans
  • Middle Aged
  • Mycoses* / drug therapy
  • Tablets
  • Tomography, Optical Coherence / methods*
  • Treatment Outcome

Substances

  • Antifungal Agents
  • Tablets
  • Fluconazole