Purpose: 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.
Conclusion: 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.
This report describes the clinical course of a patient with decreased visual acuity because of subretinal fluid associated with a choroidal nevus that responded to focal laser photocoagulation treatment. Therapeutic response was monitored by spectral domain optical coherence tomography and fundus photography.
*New England Eye Center at Tufts Medical Center, Boston, Massachusetts;
†Ophthalmic Consultants of Boston, Boston, Massachusetts; and
‡Tuft University School of Medicine, Boston, Massachusetts.
Reprint requests: Jay S Duker, MD, New England Eye Center at Tufts Medical Center, 800 Washington Street, Box 450, Boston, MA 02111; e-mail: firstname.lastname@example.org
Supported in part by both Research to Prevent Blindness and Massachusetts Lions Eye Research Fund unrestricted award to the New England Eye Center/Department of Ophthalmology, Tufts University School of Medicine.
None of the authors have any conflicting interests to disclose.