A case series of choroidal lesions and their unique presentation

Abstract

Background: To investigate the clinic-pathological manifestations of different choroidal lesions in aiding better diagnosis. Method: Patients aged 29, 21, 56years presented with visual acuity deficit due to focal choroidal lesions. Anterior segment: Normal in first two cases. 56year old patient had festooned pupil right eye with 1+ cell’s in anterior chamber Fundus: Case 1: A well-defined lesion which appears elevated with scalloped margins in juxta papillary region with similar lesion in the left eye Case 2: Bilateral single well defined choroidal lesion in the posterior pole beneath superotemporal arcade with sub retinal fluid present. Case 3: A raised grey white lesion the temporal posterior pole near macula. Result: Diagnosis of bilateral choroidal osteoma, choroid granuloma secondary to TB with crohns and choroidal granuloma secondary to toxoplasmosis was considered respectively and treated. Conclusion: Every choroidal lesion has special characteristics, and supported ancillary testing aids in diagnosis and treatment.