Yeungnam Univ J Med.  2020 Jul;37(3):242-245. 10.12701/yujm.2020.00087.

Spontaneous resolution of serous retinal detachment caused by choroidal mass after a first trimester abortion

• Lee YH
• Kim YC

• KMID: 2506525
• DOI: http://doi.org/10.12701/yujm.2020.00087

Abstract

Pregnancy-related ocular diseases develop mostly in the third trimester of pregnancy. Here, we describe a case of a pregnant woman with a choroidal mass that caused a serous retinal detachment during the first trimester of pregnancy. The patient’s condition resolved spontaneously after an abortion.

Keyword

Choroidal neoplasm; Choroidal osteoma; First trimester; Pregnancy

Figure

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  Fig. 1. Fundus photograph and optical coherence tomography of the left eye obtained on the initial visit. (A) An elevated orange-red retina is visible at the posterior pole. (B) Optical coherence tomography reveals a thick choroid, compression of the choriocapillaris, and serous retinal detachment with a choroidal mass (arrow).

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  Fig. 2. Fundus photograph and optical coherence tomography of the left eye obtained 1 month after the initial visit. (A) The height of the elevated retina is reduced and patchy yellowish discoloration is seen. (B) The serous retinal detachment is resolved and fine lamellar lines within the choroidal lesion are visible (arrow).

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  Fig. 3. Fluorescein angiography and indocyanine green angiography of the left eye obtained 1 month after the initial visit. Fluorescein angiography (A, arteriovenous phase; B, late phase) reveals early hyperfluorescence (arrowhead) with late-phase staining (arrow). Indocyanine green angiography (C, early phase; D, late phase) reveals early hypofluorescnece (arrowhead) followed by diffuse confluent fluorescence in the late phase (arrow).

Reference

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