[Multimodal imaging in atypical choroidal nevus]

Area of Science:

• Ophthalmology
• Medical Imaging
• Oncology

Background:

• Choroidal nevi are common, benign ocular tumors.
• They are typically asymptomatic and easily diagnosed.
• Complications like macular syndrome can arise from choroidal degeneration or neovascularization.

Observation:

• A female patient presented with an atypical choroidal lesion.
• Diagnostic challenges were present due to the lesion's unusual characteristics.

Findings:

• Multimodal imaging, including clinical examination, ultrasound, fluorescein angiography, and indocyanine green (ICG) angiography, was utilized.
• The combined imaging approach facilitated the diagnosis of an achromic choroidal nevus.
• The nevus was complicated by choroidal neovascularization.

Implications:

• This case highlights the importance of multimodal imaging in diagnosing atypical choroidal lesions.
• Accurate diagnosis of achromic choroidal nevus with neovascularization is crucial for appropriate patient management.
• Early detection and management can prevent vision loss associated with choroidal neovascularization.