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Oli A, Balakrishnan D. Multimodal Imaging in a Case of Localized Suprachoroidal Hemorrhage. JOVR [Internet]. 2020Feb.3 [cited 2024Apr.19];15(1):104–108. Available from: https://knepublishing.com/index.php/JOVR/article/view/5956

https://doi.org/10.18502/jovr.v15i1.5956

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authors

  • Avadhesh Oli

    Avadhesh Oli

    Smt Kanuri Santhamma Center for Vitreo Retina Services, L. V. Prasad Eye Institute, Hyderabad, India
  • Divya Balakrishnan

    Divya Balakrishnan

    Smt Kanuri Santhamma Center for Vitreo Retina Services, L. V. Prasad Eye Institute, Hyderabad, India

Published Date

  • Feb 3, 2020
This journal is publishing all the articles under Creative Commons Attribution License CC BY 4.0.

Multimodal Imaging in a Case of Localized Suprachoroidal Hemorrhage

Journal of Ophthalmic and Vision Research (JOVR) / January–March 2020, Volume 15, Issue 1 / Pages 104–108

Abstract

Purpose: To report a case of localized suprachoroidal hemorrhage presenting as a choroidal mass.


Case Report: A 66-year-old lady presented with sudden onset pain in the right eye, one week following uneventful cataract surgery. The best corrected visual acuity (BCVA) was 20/160 and fundus examination showed a brown elevated choroidal mass temporal to the fovea in the right eye with normal retina and retinal vessels over it. The differential diagnoses considered were choroidal granuloma, melanoma, choroidal hemangioma, posterior scleritis, and localized suprachoroidal haemorrhage (SCH). Fluorescein angiography (FA) and indocyanine green (ICG) angiography were unremarkable except for mild disc leakage; B-scan showed a choroidal mass with high surface reflectivity and low internal reflectivity, and OCT showed an elevation of retinochoroidal complex with hyporeflective mass in the outer choroid with choroidal folds suggestive of SCH. Her systemic evaluation showed raised ESR and consolidation in the upper lobe of the right lung. The patient did not take any additional treatment for her eye and the lesion regressed and visual acuity improved to 20/30 in one month.


Conclusion: Delayed spontaneous suprachoroidal hemorrhage can present as a choroidal mass. Multimodal imaging helps to differentiate it from other sight-threatening and life-threatening ocular diseases.

Keywords:

Choroidal Granuloma, Choroidal Mass, Melanoma, Supra Choroidal Hemorrhage

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