Optical coherence tomography in the diagnosis of subclinical serous detachment of the macula secondary to a choroidal nevus.
We present a case in which optical coherence tomography (OCT) aided in the diagnosis of subretinal fluid (SRF) secondary to a choroidal nevus. A patient with a raised lesion above the left optic disc and distorted central vision was referred to our unit because of suspected choroidal melanoma. Fundus fluorescein angiography and slit-lamp investigation did not indicate any areas of SRF; however, OCT showed serous detachment in the macular area. The lesion was treated with laser photocoagulation and, when reviewed at four weeks post-treatment, repeat OCT scans showed that the area of SRF had cleared. In this case OCT was able to detect a subclinical serous detachment in the macula. This may have important implications in the monitoring of patients with small suspicious lesions.
Muscat
S
S
Electrodiagnostic Imaging Unit, Tennent Institute of Ophthalmology Gartnavel General Hospital, Glasgow, Scotland.
Srinivasan
S
S
Sampat
V
V
Kemp
E
E
Parks
S
S
Keating
D
D
D000368:Aged; D002830:Choroid Neoplasms / Q000150:complications*; D003941:Diagnostic Techniques, Ophthalmological; D005122:Exudates and Transudates; D005451:Fluorescein Angiography; D006801:Humans; D007368:Interferometry; D017075:Laser Coagulation; D008027:Light; D008266:Macula Lutea / Q000473:pathology* / Q000601:surgery; D008297:Male; D009508:Nevus, Pigmented / Q000150:complications*; D012163:Retinal Detachment / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D014054:Tomography; D014792:Visual Acuity