Temporary Spontaneous Resolution of Subretinal Fluid in a Circumscribed Choroidal Hemangioma

Purpose: To describe a rare case of spontaneous resolution and subsequent recurrence of subretinal fluid (SRF) associated with circumscribed choroidal hemangioma. Methods: A single case was reviewed. Results: A 67-year-old woman presented with a circumscribed choroidal hemangioma and visually significant SRF. Three weeks after initial presentation and before planned treatment, the patient's vision returned to baseline, and imaging confirmed complete resolution of SRF. She was observed without intervention. Two months later, the SRF recurred, and the patient was successfully treated with photodynamic therapy, achieving complete resolution. Conclusions: Spontaneous resolution of SRF secondary to circumscribed choroidal hemangioma can occur, albeit rarely. At the time of treatment planning, reassessment of symptoms and repeat imaging may help identify such spontaneous improvement. If resolution occurs, patients should be closely followed up for the possibility of fluid recurrence.