Takahashi Kengo, Song Youngseok, Motokawa Kazuyoshi, Nagaoka Taiji
Department of Ophthalmology, Asahikawa Medical University, Asahikawa, Japan.
Department of Ophthalmology, Furano West Hospital, Furano, Japan.
Am J Ophthalmol Case Rep. 2025 Jan 7;37:102250. doi: 10.1016/j.ajoc.2025.102250. eCollection 2025 Mar.
To describe a case of an elderly woman who presented with acute choroidal elevation, and the elevation disappeared without any treatment a month after the onset.
A 64-year-old woman presented to the clinic with complaint of blurred vision in her left eye. Her left visual acuity was 20/32 and choroidal elevation in the macular and subretinal fluid of the left eye was observed with optical coherence tomography (OCT), and no abnormalities in her right eye. Her fundus examination and OCT revealed a choroidal elevation and sub-retinal fluid (SRF) around the inferior temporal area, including the fovea in her left eye. No abnormalities on OCT were found after three months without any treatments, and the patient's BCVA improved to 20/20 with blurred vision.
Choroidal elevation is often suspected as an intraocular tumor. This case showed a transient choroidal elevation that improved without treatment. The characteristic finding of this case was an abnormal, hyperpermeable choroidal pachyvessel crossing the watershed zone.
描述一例老年女性出现急性脉络膜隆起，发病一个月后未经任何治疗隆起消失的病例。
一名64岁女性因左眼视力模糊到诊所就诊。其左眼视力为20/32，光学相干断层扫描（OCT）观察到左眼黄斑区脉络膜隆起及视网膜下液，右眼未见异常。未经任何治疗三个月后，其眼底检查和OCT显示左眼颞下区域包括黄斑中心凹周围有脉络膜隆起和视网膜下液（SRF）。未经治疗三个月后OCT未发现异常，患者最佳矫正视力（BCVA）提高到20/20，仍有视力模糊。
脉络膜隆起常被怀疑为眼内肿瘤。本病例显示了未经治疗而改善的短暂性脉络膜隆起。该病例的特征性表现是一条异常的、高渗透性的脉络膜厚血管穿过分水岭区。
