Thomas A. Ciulla, MD, MBA, FASRS » Choroidal Hemangioma

A 49 year old woman presented with metamorphopsia OS. She was noted to have a subtle orange-hued lesion superior nasal to the fovea. There were some small punched-out spots superior and inferior to the fovea, a common finding in the midwest, where POHS is prevalent. Fluorescein angiography revealed a well-circumscribed coarse hyperfluorescent vascular pattern within the lesion. There was no leakage during the late phase of the angiogram. OCT revealed subretinal fluid superior nasal to the fovea. B-scan showed a shallow echodense mass adjacent to the optic nerve with shallow overlying subretinal fluid. These findings were all characteristic of choroidal hemangioma.