Bai Jie, Wang Yanqing, Cao Nanjue, Liu Yan, Chen Xufei, He Ting, Wang Shan
Department of Ophthalmology, The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu 322000, Zhejiang, China.
Department of Ophthalmology and Otorhinolaryngology, Yiwu Second People's Hospital, Yiwu 322000, Zhejiang, China.
Case Rep Ophthalmol Med. 2024 Mar 26;2024:5519361. doi: 10.1155/2024/5519361. eCollection 2024.
Here, we report a case of a male patient with bilateral focal choroidal excavation (FCE) and central serous chorioretinopathy (CSC). A 33-year-old man complained of mild blurring of vision in the right eye. Optical coherence tomography (OCT) revealed FCE in both eyes, with subretinal fluid in both eyes and serous pigment epithelial detachment in the right eye. Standard laser fluence (50 J/cm) was used in the right eye, and a subthreshold micropulse laser (SML) was simultaneously used in the left eye. Follow-up visits were recommended. At his last visit (5 months after treatment), the visual acuity was 16/20 in the right eye and 20/20 in the left eye and OCT showed a completed resolution of SRF.
FCE is defined as a localized depression of the choroid detected by OCT. It may be congenital or acquired secondarily. We present a case of uncommon focal choroidal excavation and central serous chorioretinopathy (CSC) coexisting in both eyes at a relatively young age in which visual acuity was improved and subretinal fluid (SRF) completely resolved with laser treatment. Timely treatment can promote SRF absorption and improve vision.
在此，我们报告一例患有双侧局灶性脉络膜凹陷（FCE）和中心性浆液性脉络膜视网膜病变（CSC）的男性患者。一名33岁男性主诉右眼轻度视力模糊。光学相干断层扫描（OCT）显示双眼均有FCE，双眼均有视网膜下液，右眼有浆液性色素上皮脱离。右眼使用标准激光能量密度（50 J/cm），左眼同时使用阈下微脉冲激光（SML）。建议进行随访。在他最后一次就诊时（治疗后5个月），右眼视力为16/20，左眼视力为20/20，OCT显示视网膜下液完全消退。
FCE被定义为通过OCT检测到的脉络膜局限性凹陷。它可能是先天性的或继发获得性的。我们报告了一例在相对年轻的年龄双眼同时存在罕见的局灶性脉络膜凹陷和中心性浆液性脉络膜视网膜病变（CSC）的病例，经激光治疗后视力提高，视网膜下液（SRF）完全消退。及时治疗可促进SRF吸收并改善视力。
