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Clinical Presentations of Focal Choroidal Excavation and Results of Long-term Follow-up
국소맥락막함몰의 임상양상과 장기 추적관찰 결과
JKOS 2019 Jun;60(6):541-6
Published online June 15, 2019;  https://doi.org/10.3341/jkos.2019.60.6.541
Copyright © 2019 The Korean Ophthalmological Society.
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Seok Hyun Lee, MD, Jae Hui Kim, MD, Jong Woo Kim, MD, Chul Gu Kim, MD, Dong Won Lee, MD, Young Ju Lew, MD, Han Joo Cho, MD, Joo Yeon Kim, MD
이석현·김재휘·김종우·김철구·이동원·유영주·조한주·김주연

Department of Ophthalmology, Kim’s Eye Hospital, Konyang University College of Medicine, Seoul, Korea
건양대학교 의과대학 김안과병원 안과학교실
Received December 6, 2018; Revised January 13, 2019; Accepted May 16, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: To evaluate the clinical presentations of focal choroidal excavation and to report long-term outcomes of cases without retinal disorders at the initial presentation.
Methods: A retrospective review of medical records was performed for patients diagnosed with focal choroidal excavation. Concomitant retinal disorders at the initial presentation were identified. In cases without retinal disorders, the development of retinal disorders during follow-up was also evaluated.
Results: Forty-five eyes in 45 patients were examined in this study. Focal choroidal excavation was accompanied with retinal disorders in 16 eyes (35.6%). In the remaining 29 eyes, only focal choroidal excavation was noted without any accompanying retinal disorders. The accompanying retinal disorders included choroidal neovascularization (n = 8), central serous chorioretinopathy (n = 4), epiretinal membrane (n = 1), macular hole (n = 1), branch retinal vein occlusion (n = 1), and uveitis (n = 1). Of the 29 eyes without retinal disorders, 22 were followed up for a mean period of 33.5 ± 18.2 months. Consequently, choroidal neovascularization was found to have developed in one eye at 59 months, and subretinal fluid had developed in two eyes at 17 and 28 months, respectively.
Conclusions: Focal choroidal excavation was accompanied by retinal disorders in 35.6% of the included patients. In patients without retinal disorders, the development of a retinal disorder was noted in some eyes, suggesting the need for long-term regular follow-up in patients diagnosed with focal choroidal excavation.
Keywords : Central serous chorioretinopathy, Choroidal neovascularization, Focal choroidal excavation

 

October 2019, 60 (10)