Peripheral Exudative Hemorrhagic Chorioretinopathy

file Retina Image Bank

File number: 65282


Comments

    Sign in to comment.

    • By Olivia Rainey
      Retina Specialists of Michigan
      Co-author(s): Greg Bever, MD
    • Uploaded on Oct 7, 2020.
    • Last modified by Caroline Bozell on Oct 8, 2020.
    Rating
    Appears in
    Miscellaneous
    Condition/keywords
    subretinal hemorrhage, periphery, peripheral exudative hemorrhagic chorioretinopathy (PEHCR), indocyanine green (ICG) angiography, fluorescein angiogram (FA), lesion, ultra-wide field imaging, Optos, right eye, monocular
    Photographer
    Olivia Rainey, OCT-C, COA
    Imaging device
    Fundus camera
    Optos California
    Description
    Fluorecein and ICG angiography of a 80-year-old male with peripheral exudative hemorrhagic chorioretinopathy affecting his right eye. Patient noted only mild floaters for a couple weeks OD on 10/5/2020. The physician strongly suspects that the lesion is subretinal blood (likely from PEHCR) rather than choroidal melanoma. There is blocking on FA and ICG with a definite lack of intrinsic vessels within the mass lesion. He will monitor closely, as the patient is monocular with a history of multiple surgeries (which the family believes PPV for "scar tissue") OS mostly in 2013. His family also reports remembering possibly being told there was a "small mass" in the left eye at one point in their surgical course. The physician believes that it's possible this was a bleed related to PEHCR as it typically exists as a bilateral condition.

    Related files