A Masquerade Case: Choroidal Hemangioma Misdiagnosed As Central Serous Retinopathy

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:

• macular edema
• subretinal fluid
• CSR
• central serous retinopathy
• diagnostic testing

Patient Consent

The authors confirm that any aspect of the work covered in this manuscript that has involved human patients has been conducted with the ethical approval of all relevant bodies. Informed written consent has been obtained from all patients to have case details and any accompanying images published.

Acknowledgments

No institutional approval was required for the publishing of this case series.

Disclosure

The authors report no conflicts of interest in this work.

Additional information

Funding

No grant support or funding was given for this study.