{"title":"Acute transient choroidal elevation induced by hyperpermeability of asymmetrical pachyvessel over-crossed watershed zone.","authors":"Kengo Takahashi, Youngseok Song, Kazuyoshi Motokawa, Taiji Nagaoka","doi":"10.1016/j.ajoc.2025.102250","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To describe a case of an elderly woman who presented with acute choroidal elevation, and the elevation disappeared without any treatment a month after the onset.</p><p><strong>Observation: </strong>A 64-year-old woman presented to the clinic with complaint of blurred vision in her left eye. Her left visual acuity was 20/32 and choroidal elevation in the macular and subretinal fluid of the left eye was observed with optical coherence tomography (OCT), and no abnormalities in her right eye. Her fundus examination and OCT revealed a choroidal elevation and sub-retinal fluid (SRF) around the inferior temporal area, including the fovea in her left eye. No abnormalities on OCT were found after three months without any treatments, and the patient's BCVA improved to 20/20 with blurred vision.</p><p><strong>Conclusions and importance: </strong>Choroidal elevation is often suspected as an intraocular tumor. This case showed a transient choroidal elevation that improved without treatment. The characteristic finding of this case was an abnormal, hyperpermeable choroidal pachyvessel crossing the watershed zone.</p>","PeriodicalId":7569,"journal":{"name":"American Journal of Ophthalmology Case Reports","volume":"37 ","pages":"102250"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773260/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Ophthalmology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.ajoc.2025.102250","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: To describe a case of an elderly woman who presented with acute choroidal elevation, and the elevation disappeared without any treatment a month after the onset.
Observation: A 64-year-old woman presented to the clinic with complaint of blurred vision in her left eye. Her left visual acuity was 20/32 and choroidal elevation in the macular and subretinal fluid of the left eye was observed with optical coherence tomography (OCT), and no abnormalities in her right eye. Her fundus examination and OCT revealed a choroidal elevation and sub-retinal fluid (SRF) around the inferior temporal area, including the fovea in her left eye. No abnormalities on OCT were found after three months without any treatments, and the patient's BCVA improved to 20/20 with blurred vision.
Conclusions and importance: Choroidal elevation is often suspected as an intraocular tumor. This case showed a transient choroidal elevation that improved without treatment. The characteristic finding of this case was an abnormal, hyperpermeable choroidal pachyvessel crossing the watershed zone.
期刊介绍：
The American Journal of Ophthalmology Case Reports is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished case report manuscripts directed to ophthalmologists and visual science specialists. The cases shall be challenging and stimulating but shall also be presented in an educational format to engage the readers as if they are working alongside with the caring clinician scientists to manage the patients. Submissions shall be clear, concise, and well-documented reports. Brief reports and case series submissions on specific themes are also very welcome.
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