A Masquerade Case: Choroidal Hemangioma Misdiagnosed As Central Serous Retinopathy

• Published in: International medical case reports journal Vol. 16; pp. 239 - 244
• Main Authors: Lai, Leo, Javier, Therese, Lee, Sol, Gallemore, Ron P
• Format: Journal Article
• Language: English
• Published: New Zealand Dove Medical Press Limited 01-01-2023; Taylor & Francis Ltd; Dove; Dove Medical Press
• Subjects: Angiography; Bromfenac; Cancer; Case Report; csr (central serous retinopathy); diagnostic testing; Difluprednate; Dyes; Edema; Hemangioma; macular edema; Medical imaging; Neovascularization; Patients; Photochemotherapy; Retinal detachment; subretinal fluid; Tomography; Ultrasonic imaging; Vascular endothelial growth factor; subretinal fluid; macular edema; CSR; diagnostic testing; central serous retinopathy
• ISSN: 1179-142X; 1179-142X
• DOI: 10.2147/IMCRJ.S398844

To report a case of misdiagnosed choroidal hemangioma, initially treated as central serous retinopathy (CSR) complicated by choroidal neovascularization (CNV), and to improve the proper identification of this disorder.
Fundus images revealed a subtle, elevated choroidal lesion with an associated exudative detachment and choroidal vascular lesion on indocyanine green (ICG) angiography. Combined treatment with photodynamic therapy (PDT) and anti-VEGF therapy led to resolution of fluid and improvement in VA from 20/50 to 20/25.
It is critical to understand the clinical features of choroidal hemangiomas and their physical presentation on retinal testing to diagnose and treat them in a timely and appropriate manner.