title: Confirmation of Choroidal Varix Through Divot Sign on Spectral-Domain Optical Coherence Tomography.
abstract: Enhanced depth imaging spectral-domain optical coherence tomography (EDI SD-OCT) provides a rapid and easily accessible measure to evaluate suspicious choroidal lesions. A 60-year-old woman was referred for evaluation of an inferotemporal slightly pigmented lesion that showed a large hyporeflective elevation in the deep choroid on EDI SD-OCT. After applying pressure to the globe, repeat EDI SD-OCT showed flattening of the lesion with a prominent depression or "divot" within the choroid of the center of the lesion. If noted on imaging, this divot sign is an additional reproducible diagnostic finding that can correctly identify a suspicious choroidal lesion as a benign choroidal varix.
authors.forename: Lisa P
authors.initials: LP
authors.lastname: Wasielewski
authors.forename: David R
authors.initials: DR
authors.lastname: Lally
authors.forename: Nadia K
authors.initials: NK
authors.lastname: Waheed
mesh_terms: D002829:Choroid / Q000098:blood supply*; D005260:Female; D006801:Humans; D008875:Middle Aged; D041623:Tomography, Optical Coherence / Q000379:methods*; D014648:Varicose Veins / Q000175:diagnosis*; D014792:Visual Acuity / Q000502:physiology