Aim: To describe an unusual OCT image of FCE. Methods: This is retrospective research. 23 cases (25 eyes) of FCE were observed by SD-OCT and en-face OCT angiography (OCTA). Among all patients, there were 16 males and 7 females, and the age range is from 19 to 77 years old. Institutional review board approval and informed consent from patient was obtained. Results: Among the 23 patients assessed, unilateral multifocal focal choroidal excavation was found in 2 eyes of 2 patients. Multiple FCEs were distributed outside the fovea at varying distances from the fovea however did not involve the fovea. Unilateral multifocal FCEs can occur relatively far from the fovea and vary in size and depth. Unilateral multifocal FCEs correspond to each other on SD-OCT and en-face OCT images. Conclusion: FCE can appear simultaneously in the same fundus in a multifocal form and does not involve the fovea, which is rare in FCE.
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