Solitary idiopathic choroiditis with choroidal neovascularization

Retin Cases Brief Rep. Fall 2009;3(4):395-7. doi: 10.1097/ICB.0b013e31817f2e52.

Abstract

Purpose: To report a case of solitary idiopathic choroiditis associated with choroidal neovascularization.

Method: Case report of a 36-year-old healthy man who was referred for floaters in the left eye of 3 weeks' duration.

Results: Fundus examination of the left eye revealed a yellow-white subretinal lesion superior to the fovea. It was associated with a small subretinal hemorrhage and a macular detachment, which extended into the fovea. No vitreous cells were detected. The right eye was normal. The visual acuity was 20/20 in the right eye and 20/50 in the left eye. Laboratory evaluation for inflammatory or infectious diseases was nonrevealing. Fluorescein angiography showed Type 2 or so-called classic choroidal neovascularization associated with retinochoroidal anastomoses. After two laser treatments with poor outcomes, the lesion was effectively treated with oral steroids. A reactivation occurred 1.5 years later, and it was also successfully treated with oral steroids.

Conclusion: Solitary idiopathic choroiditis can rarely be associated with choroidal neovascularization. Oral steroid treatment seems to be the preferred form of therapy rather than some form of interventional modality.