Large turbid retinal pigment epithelial detachment camouflaging an underlying choroidal nevus
Benjamin Perez1, Carol L Shields, Jerry A Shields
1From the Ocular Oncology Service, Wills Eye Institute, Thomas Jefferson University, Philadelphia, Pennsylvania. Dr. Perez is a fellow on the Oncology Service and will be in practice at Asociacion Para Evitar la Ceguera Hospital, Mexico City, Mexico.
Purpose:
To report an unusual large turbid detachment of the retinal pigment epithelium (RPE) overlying a hidden choroidal nevus.
Methods:
Case report.
Results:
A 51-year-old woman was referred with an asymptomatic yellow subretinal mass in the left eye presumed to represent a choroidal metastasis or melanoma. Visual acuity was 20/20 in both eyes. Ophthalmoscopy of the left eye revealed a well defined, abruptly elevated, dome-shaped amelanotic lesion temporal to the macular area measuring 4 mm in basal dimension and 2.2 mm in thickness. There was no evidence of drusen, inflammation, or hemorrhage. Fluorescein angiography and optical coherence tomography suggested RPE detachment from unknown cause. After 6 years follow-up, the RPE detachment resolved, exposing an underlying chronic choroidal nevus as the etiology.
Conclusions:
Choroidal nevus can produce an overlying RPE detachment that completely obscures the underlying lesion.
More Related Videos
10:14Author Spotlight: Ex Vivo OCT-Based Multimodal Imaging of Human Donor Eyes for Research into Age-Related Macular Degeneration
Published on: May 26, 2023
11:20Retinal Pigment Epithelium Transplantation in a Non-human Primate Model for Degenerative Retinal Diseases
Published on: June 14, 2021
