A Masquerade Case: Choroidal Hemangioma Misdiagnosed As Central Serous Retinopathy

Leo Lai; Therese Javier; Sol Lee; Ron P Gallemore

doi:10.2147/IMCRJ.S398844

A Masquerade Case: Choroidal Hemangioma Misdiagnosed As Central Serous Retinopathy

Int Med Case Rep J. 2023 Apr 4:16:239-244. doi: 10.2147/IMCRJ.S398844. eCollection 2023.

Authors

Leo Lai¹, Therese Javier¹, Sol Lee¹, Ron P Gallemore¹

Affiliation

¹ Department of Clinical Research, Retina Macula Institute, Torrance, CA, USA.

Abstract

Purpose: 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.

Observations: 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.

Conclusion: 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.

Keywords: CSR; central serous retinopathy; diagnostic testing; macular edema; subretinal fluid.

Publication types

Case Reports

Grants and funding

No grant support or funding was given for this study.