Related Experiment Videos
[Choroidal nevi associated with serous macular detachment]
N Duquesne1, Z Hajji, B Jean-Louis
1Clinique Ophtalmologique Universitaire B, UFR Lyon-Nord, Hôpital de la Croix-Rousse, 93, Grande-rue de la Croix-Rousse, F-69317 Lyon Cedex 04, France.
Journal Francais D'Ophtalmologie
|May 16, 2002
Summary
Choroidal nevi rarely cause macular serous detachment, which can resolve spontaneously or with treatments like gas injection or transpupillary thermotherapy. Regular monitoring is crucial for potential tumor growth.
Area of Science:
- Ophthalmology
- Medical Imaging
- Oncology
Context:
- Choroidal nevi are benign melanocytic tumors of the eye.
- Macular serous detachment is the accumulation of fluid under the retina.
- This study focuses on the rare occurrence of serous detachment associated with choroidal nevi.
Purpose:
- To characterize the presentation and natural history of choroidal nevi accompanied by macular serous detachment.
- To evaluate the efficacy of various treatment modalities for this condition.
Summary:
- Twelve posterior choroidal nevi with subretinal fluid were analyzed, with foveal detachment in 11 cases and tumor thickness ≤2 mm.
- Observation led to spontaneous resolution in 50% of untreated cases.
- Corticosteroids showed partial success with recurrence, while gas injection and transpupillary thermotherapy achieved definitive drying.
- Tumor growth occurred in 25% of cases over a 2-year follow-up.
Impact:
- Subretinal fluid associated with choroidal nevi is uncommon but warrants careful management.
- Treatment options beyond observation, including gas injection and transpupillary thermotherapy, can be effective.
- Long-term surveillance is necessary to monitor for tumor growth.