Peripapillary intrachoroidal cavitation in pathological myopia.

Area of Science:

• Ophthalmology
• Medical Imaging
• Retinal Diseases

Background:

• Pathological myopia is a significant risk factor for various ocular complications.
• Accurate diagnosis of retinal lesions is essential for appropriate patient management.

Observation:

• A case report details a 54-year-old woman with pathological myopia.
• The patient presented with an elevated, yellowish-white lesion near the optic disc.
• Optical coherence tomography revealed an intrachoroidal hyporeflective space.

Findings:

• Fluorescein angiography showed initial hypofluorescence with delayed staining.
• No contrast leakage was observed, suggesting a non-exudative nature.
• The observed features are consistent with peripapillary intrachoroidal cavitation.

Implications:

• Peripapillary intrachoroidal cavitation should be recognized as a unique entity.
• Distinguishing this condition from other retinal pathologies prevents unnecessary investigations and treatments.
• This recognition aids in the precise management of patients with pathological myopia.