Focal choroidal excavation: Clinical findings and complications

Navarro, V. Castro; Hernández, Juan Antonio Rodríguez; Palop, Catalina Navarro; Fort, Pierre-Louis; Taulet, Enrique Cervera

doi:10.1016/j.oftale.2015.12.012

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…2,4 It can be associated with CSCR, polypoidal choroidal vasculopathy, choroidal neovascularization (CNV), as well as various other ocular conditions (Table 1). 2,4–25,26–50 Focal or diffuse increase in choroidal thickness (pachychoroid) and pachyvessels have been described in patients with FCE, similar to that seen in CSCR. 16 Indeed, Case 1 presented with conforming FCE in the right eye, and increased choroidal thickness and pachyvessels in both eyes.…”

Section: Discussionmentioning

confidence: 88%

“…Treatment options for FCE associated with subretinal fluid include PDT and anti-vascular endothelial growth factor injections, but given the rarity of this condition, there are minimal data to document the efficacy of these interventions. 1,[3][4][5]11,18,21,[34][35][36][37][38][39][40][41][42]46,47,51,54 In summary, we described two cases of FCE conversion caused by acute CSCR episode. Nonconforming FCE may be the result of persistent subretinal fluid.…”

Section: Discussionmentioning

confidence: 99%

“…Review of the literature showed 371 documented cases of FCE (Table 2). One hundred and ninety-four were classified as conforming FCE and 116 as nonconforming, with the remainder not classified (Table 3) 1–25,26–50 . Nine cases of conforming FCE converting to nonconforming have been reported.…”

Section: Discussionmentioning

confidence: 99%

“…Treatment options for FCE associated with subretinal fluid include PDT and anti–vascular endothelial growth factor injections, but given the rarity of this condition, there are minimal data to document the efficacy of these interventions. 1,3–5,11,18,21,34–42,46,47,51,54…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Conversion of Focal Choroidal Excavation With the Onset of Central Serous Chorioretinopathy: Report of 2 Cases and Review of the Literature

Docherty

Sidiqi

Martens

et al. 2021

RETINAL Cases &Amp; Brief Reports

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Purpose: To describe two cases of focal choroidal excavation (FCE) conversion in patients with central serous chorioretinopathy.Methods: Case report and literature review of cases of FCE conversion.Results: A 35-year-old asymptomatic pregnant patient was found to have conforming FCE on spectral domain optical coherence tomography of the right eye during hydroxychloroquine screening. Three months later, she presented with decreased vision in the right eye and subretinal fluid in both eyes secondary to central serous chorioretinopathy. Spectral domain optical coherence tomography revealed that her FCE had changed to nonconforming type. A 40-year-old male patient was found to have nonconforming FCE and subretinal fluid in his right eye on spectral domain optical coherence tomography. On follow-up, spectral domain optical coherence tomography demonstrated resolution of subretinal fluid and conversion of nonconforming FCE to conforming type. Literature review showed that most cases of FCE remain stable over time. Conversion from nonconforming FCE to conforming type has been described after photodynamic therapy or anti-vascular endothelial growth factor therapy. Conversion from conforming to nonconforming type has been described in 2 cases that developed subretinal fluid in the setting of acute central serous chorioretinopathy.Conclusion: Our cases and literature review suggest that nonconforming FCE is the result of persistent subretinal fluid. Further studies are necessary to determine whether symptomatic nonconforming SRF needs treatment to reduce subretinal fluid.

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