Leaking choroidal nevus treated with focal laser photocoagulation.
OBJECTIVE
To present a case of leaky choroidal nevus that responded favorably to treatment with focal laser photocoagulation, shown by spectral domain optical coherence tomography, fundus autofluorescence, and fundus photography.


METHODS
Descriptive case report of a 40-year-old male patient with decreased visual acuity because of subretinal fluid associated with a choroidal nevus, which was treated with focal laser photocoagulation.


RESULTS
Treatment with focal laser photocoagulation to the surface of the choroidal nevus resulted in the resolution of subretinal fluid by 6 weeks. The therapeutic effect remained after 1 year of follow-up with continued improvement in vision and with no growth of the lesion.


CONCLUSIONS
Laser photocoagulation can be an effective treatment for symptomatic subretinal fluid associated with a choroidal nevus. Spectral domain optical coherence tomography, fundus autofluorescence, and fundus photography can be helpful in monitoring the treatment response.
*New England Eye Center at Tufts Medical Center, Boston, Massachusetts; †Ophthalmic Consultants of Boston, Boston, Massachusetts; and ‡Tuft University School of Medicine, Boston, Massachusetts.
Darin R
DR
Goldman
Alexander C
AC
Barnes
Robin A
RA
Vora
Jay S
JS
Duker
D000328:Adult; D002830:Choroid Neoplasms / Q000601:surgery*; D006801:Humans; D017075:Laser Coagulation / Q000379:methods*; D008297:Male; D009508:Nevus, Pigmented / Q000601:surgery*; D058471:Subretinal Fluid; D016896:Treatment Outcome