First Author: D.Rubio MEXICO
Co Author(s): I. Orozco Gordoa
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To describe the clinical case of a patient with a dome Shaped Choroidal haemangioma.
Ophthalmology Department of Hospital Central Sur de Alta Especialidad, Petróleos Mexicanos, Mexico City.
Case report of a single patient. A 59 year-old man with cardiac arrhythmia, Benign prostatic hyperplasia and history of Central Serous Chorioretinopathy in right eye, who presented in our Hospital with a 1 and a half year history of progressive decreased visual acuity in left eye. He presented best corrected visual acuity of 20/20 in both eyes (+6.00 sphere in left eye), temporal metamorphopsia in left eye and intraocular pressure of 12 mmHg in both eyes. Her left fundus exploration showed an orange dome-shaped mass under retina of approximately 5 DD, involving macula, with pigmented nasal border.
Fluorescein angiography showed a patched hyperfluorescent lesion without leakage. Standarized ophthalmic ultrasound showed a choroidal highly-vascularized lesion with high internal reflectivity (89%) of 2.79 mm of height in its higher portion. We decided to follow-up the patient with a monthly examination and photograph registers for evidence of growth or leakage. At 6 months of follow-up the BCVA is maintained an the lesion has the same characteristics as the first visit.
Differencial diagnosis between Intraocular tumours is a challenge in some cases. In this patient, it was complex, due to the lesion characteristics, to decide whether it was a Choroidal Melanoma or haemangioma and it was complex to decide whether to treat the patient or not. However, the conserved visual acuity and no evidence of leakage were the factors that lead to decide a conservative management.