Multimodal imaging in a case of choroidal cavitation and macular coloboma
DOI:
https://doi.org/10.70313/2718.7446.v18.n2.411Keywords:
macular coloboma, intrachoroidal cavitation, optical coherence tomographyAbstract
Objective: To present the case of a patient with a lesion of the posterior pole that is rare to find in clinical practice: macular coloboma associated with intrachoroid cavitation, whose differential diagnosis is made through multimodal imaging.
Clinical case: A 51-year-old healthy woman who came to the clinic for check-up, found a lesion of approximately 6 papillary diameters surrounding the papilla and compromising the macula, yellowish in color that in the optical coherence tomography corresponds to an area of atrophic sensorineural retina and absence of pigmented epithelium, with an hyporeflective image at the level of the underlying choroid, compatible with macular coloboma and intrachoroidal cavitation.
Conclusion: The optical coherence tomography is a key tool in the structural analysis of the retina and choroid, thus allowing us the diagnosis of fundus lesions.
Downloads
References
1. Nassar S, Tarbett AK, Browning DJ. Choroidal cavitary disorders. Clin Ophthalmol 2020; 14: 2609-2623. doi:10.2147/OPTH.S264731.
2. Spaide RF, Akiba M, Ohno-Matsui K. Evaluation of peripapillary intrachoroidal cavitation with swept source and enhanced depth imaging optical coherence tomography. Retina 2012; 32(6): 1037-1044. doi:10.1097/IAE.0b013e318242b9c0.
3. Altintas AGK. Chorioretinal coloboma: clinical presentation complications and treatment alternatives. Adv Ophthalmol Vis Syst 2019; 9(4): 106-108.
4. Sharma S, Naqvi A, Cruess AF. Bilateral macular colobomas. Can J Ophthalmol 1996; 31(1): 27-28.
5. Schoenberger SD, Agarwal A. Intrachoroidal cavitation in North Carolina macular dystrophy. JAMA Ophthalmol 2013; 131(8): 1073-1076. doi:10.1001/jamaophthalmol.2013.1598.
6. Markan A, Jain M, Singh R. Secondary intrachoroidal cavitation in a case of iridofundal coloboma. Med Hypotheses 2020; 143: 110085. doi:10.1016/j.mehy.2020.110085.
7. Ruiz del Río N, García Ibor F, Hernández Pérez D, Duch Samper AM. Choroid cavitation associated with macular coloboma: Multimodal study. Image en face. Arch Soc Esp Oftalmol (Engl Ed) 2024; 99(4): 165-168. doi:10.1016/j.oftale.2024.01.011.
8. Duke-Elder S, Cook C. Congenital deformities. En: Duke-Elder S, Cook C (eds). System of ophthalmology. St. Louis: Mosby, 1963; v. 6. chap. 14.
9. Forte R, Pascotto F, Cennamo G, de Crecchio G. Evaluation of peripapillary detachment in pathologic myopia with en face optical coherence tomography. Eye (Lond) 2008; 22(1): 158-161. doi:10.1038/sj.eye.6702666.
10. Venkatesh R, Agrawal R, Reddy NG, Gupta A, Yadav NK, Chhablani J. Intercalary membrane break and detachment causes intrachoroidal cavitation in macular coloboma. Int Ophthalmol 2022; 42(8): 2581-2589. doi:10.1007/s10792-022-02306-5.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Consejo Argentino de Oftalmología
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Con esta licencia no se permite un uso comercial de la obra original, ni la generación de obras derivadas. Las licencias Creative Commons permiten a los autores compartir y liberar sus obras en forma legal y segura.
How to Cite
