First Author: S.Ari Yaylali TURKEY
Co Author(s): B. Simsek
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To report a case of CSCR with juxtapapillary subretinal fibrin-like material deposition mimicing choroidal mass
Ophthalmology department of Istanbul Medeniyet University, Goztepe Educational Hospital, Turkey.
The diagnosis was made based on fundoscopy, fluorescein angiography (FA), Indocyanine Green Angiography (ICG) and optical coherence tomography (OCT) findings.
A 30-year-old man presented with complaining of metamorphopsia and decreased visual acuity in the both eyes. Best-corrected visual acuity was 0.6 in the right eye and 0.7 in the left eye. Fundoscopy revealed bilateral macular elevation and subretinal yellowish mass located superotemporally to the left optic disc. OCT showed serous retinal and RPE detachments at the posterior pole in both eyes. The OCT scan of the juxtapapillary lesion revealed shallow retinal detachment, dome shaped subretinal hyperreflective foci and hyporeflective RPE detachment spaces. FA and ICG revealed bilateral multiple choroidal vascular hyperpermeability areas including the left juxtapapillary lesion area.
Subretinal fibrin accumulation in CSCR patients can mimic tumoural, neovascular, inflammatory choroidal lesions. Imaging modalities help in making differential diagnosis.