Choroid

Angioid Streaks #1 https://eyerounds.org/atlas/photos/Angioid-Streaks/Fig2b-LRG.jpg Angioid Streaks SYMPTOMS Typically asymptomatic Decrease in vision in the presence of CNVMs and/or subretinal hemorrhages SIGNS Typically bilateral but asymmetric Narrow, irregular, orange-red-brown-gray spoke-like streaks radiating from the peripapillary region of the optic nerve (High risk of CNVMs and subretinal hemorrhages) Focal areas of RPE atrophy Optic nerve drusen may…

Sclerochoroidal Calcification #1 https://westcoastretina.com/WCR_old/dec-2017.html Sclerochoroidal Calcification SYMPTOMS Asymptomatic SIGNS Typically bilateral Multiple yellow placoid lesions typically posterior to the equator and in the superior temporal quadrant WORK-UP Full eye exam with dilation | OCT | Fundus autofluorescence | Fluorescein angiography | ICG | Fundus photos | Infrared photos | B-scan ultrasound (Highly reflective even with…

Choroidal Folds #1 https://eyerounds.org/atlas/pages/choroidal-folds.html Choroidal Folds SYMPTOMS Typically asymptomatic but can be associated with metamorphopsia and a decrease in vision SIGNS Lines or grooves (alternating between yellowish and dark colors) typically in the posterior pole that are usually horizontal (They can also be vertical or oblique) WORK-UP Full eye exam with dilation | OCT |…

Choroidal Hemangioma #1 https://webeye.ophth.uiowa.edu/eyeforum/atlas/pages/choroidal-hemangioma-circumscribed/index.htm Choroidal Hemangioma SYMPTOMS Blurry vision, Metamorphopsia, Visual field loss, Flashes, Floaters Can be asymptomatic as well SIGNS Usually isolated | Usually unilateral | Typically found in the posterior pole (Most commonly found in the superior temporal aspect of the macula) Well-defined lesion| Orange-red in color | Can have a pigmented base…

Metastatic Choroidal Tumor #1 http://www.eyerounds.org/atlas/pages/carcinosarcoma-choroidal-metastasis.htm Metastatic Choroidal Tumor SYMPTOMS Blurry vision, Metamorphopsia, Scotomas, Peripheral vision loss, Flashes, Floaters, Eye pain SIGNS Usually isolated (Can be multifocal) | Usually unilateral (Can be bilateral) | Typically found in the posterior pole Dome-shaped appearance as it breaks through Bruch’s membrane | Thickness is typically greater than 2mm |…

Choroidal Melanoma #1 https://www.focuson2020.com/services/comprehensive-eye-exams/ Choroidal Melanoma SYMPTOMS Lid tenderness, Blurry vision, Metamorphopsia, Scotomas, Peripheral vision loss, Flashes, Floaters, Eye pains SIGNS Usually isolated | Usually unilateral Typically gray-green-brown in color. Can be amelanotic Dome-shaped appearance as it breaks through Bruch’s membrane | Thickness usually greater than 2mm Subretinal fluid present with shaggy photoreceptor layer |…

Choroidal Nevus SYMPTOMS Typically asymptomatic Choroidal nevi at the macula can cause a decrease in VA due to RPE and photoreceptor degeneration from compression of the choriocapillaris Choroidal nevi at the posterior pole can cause a visual field defect due to RPE and photoreceptor degeneration from compression of the choriocapillaris SIGNS Flat (< 2mm thick)…