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Case Report: Focal Choroidal Excavation: Conversion from Conforming to Nonconforming in a Pregnant Female
Raman Bhakhri, Robert Yacoub1, Reena Patel1
1Southern California College of Optometry, Marshall B. Ketchum University, Fullerton, California.
Summary
Focal choroidal excavation (FCE) can convert between subtypes, especially in pregnant patients. This case shows a conforming FCE converting to nonconforming FCE with spontaneous resolution during pregnancy.
Area of Science:
- Ophthalmology
- Medical Imaging
- Choroidal Diseases
Background:
- Focal choroidal excavation (FCE) is a rare condition linked to pachychoroidal diseases and potential vision loss.
- Pregnancy is a known risk factor for certain pachychoroidal conditions, potentially influencing FCE behavior.
Observation:
- A pregnant patient with a history of stable conforming FCE presented with decreased vision.
- Optical coherence tomography revealed a nonconforming FCE with serous fluid in the affected eye, attributed to pregnancy.
Findings:
- The case demonstrates the conversion of a conforming FCE to a nonconforming FCE during pregnancy.
- Spontaneous resolution of serous fluid and reversion to a conforming FCE were observed after the initial presentation.
Implications:
- This highlights the dynamic nature of FCE, particularly in pregnant individuals.
- Close monitoring of pregnant patients with FCE is crucial due to potential for subtype conversion and association with pachychoroidal diseases.
- Further research is needed to understand the exact etiology and pathophysiology of FCE conversions.
