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Case Reports
. 2013 Jun;61(6):305-6.
doi: 10.4103/0301-4738.99860.

Choroidal neovascularization secondary to choroidal nevus simulating an inflammatory lesion

Samuray Tuncer  1 , Ilknur Tugal-Tutkun
Affiliations
Case Reports

Choroidal neovascularization secondary to choroidal nevus simulating an inflammatory lesion

Samuray Tuncer et al. Indian J Ophthalmol. 2013 Jun.

Abstract

Choroidal nevi are the most common benign pigmented lesions of the fundus. Choroidal neovascularization is a rare complication of choroidal nevi. We report herein a young patient managed successfully with intravitreal bevacizumab injections for juxtapapillary choroidal neovascularization secondary to choroidal nevus simulating an inflammatory lesion.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Before treatment: (a) juxtapapillary, elevated, white chorioretinal lesion with exudation, (b) FFA (early) reveals faint juxtapapillary hyperfluorescence of CNV and pin-point hyperfluorescent points superior to this lesion, (c) FFA (late) shows juxtapapillary CNV and diffuse leakage. After treatment: (d) complete resolution of exudation exposing the underlying choroidal nevus (arrows), CNV appears inactive and smaller in size, (e) FFA reveals burnt-out fibrotic CNV with late staining and ill-defined juxtapapillary hypofluorescence due to underlying choroidal nevus (arrows)
Figure 2
Figure 2
OCT shows gradual regression of CNV and complete resolution of intraretinal edema and subretinal fluid with restoration of the retinal architecture, (a) CNV associated with minimal subretinal fluid and intraretinal cystic edema (initial visit), (b) after first injection, (c) after second injection, and (d) after third injection
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References

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