Presumed Choroidal Granuloma Annulare Mimicking Choroidal Lymphoma

A 71-year-old white male presented with unilateral trace vitreous cell and hypopigmented choroidal lesions, corresponding to hyporeflective areas on optical coherence tomography (OCT). The lesions grew slowly during a period of 2.5 years, but the patient remained asymptomatic. Cutaneous biopsy from the left forearm confirmed granuloma annulare. Given an otherwise unrevealing workup for infectious, inflammatory, and neoplastic processes, the choroidal lesions were considered to be a manifestation of the same disease process. Treatment consisted of posterior sub-Tenon's triamcinolone. After 6 weeks, the lesions appeared atrophic on funduscopy with resolution on OCT. Examination remained stable with no growth or recurrence after 4 months. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:e128-e132.].