PMID- 23008695 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20121002 LR - 20211021 IS - 1663-2699 (Electronic) IS - 1663-2699 (Linking) VI - 3 IP - 1 DP - 2012 Jan TI - Two cases of focal choroidal excavation detected by spectral-domain optical coherence tomography. PG - 96-103 AB - PURPOSE: To report the clinical findings of 2 patients with focal choroidal excavation in the macula detected by spectral-domain optical coherence tomography (SD-OCT). METHODS: Three eyes of 2 patients with a focal macular choroidal excavation detected by SD-OCT were studied. The eyes were examined by fundus autofluorescence (FAF), fluorescein angiography, fundus-related microperimetry, and multifocal electroretinography (mfERG). RESULTS: In spite of a complaint of metamorphopsia, the visual acuity was normal in 2 eyes. SD-OCT demonstrated a choroidal excavation in the macula but the foveal contour was normal in 3 eyes. The excavation involved the outer retinal layers up to the external limiting membrane in all eyes, and a type 2 secondary choroidal neovascularization (CNV) developed in 1 of the 3 eyes. There were areas of hypoautofluorescence in the FAF images, and areas of decreased retinal sensitivity determined by microperimetry. These areas corresponded to the choroidal excavation in all eyes. The P1 amplitudes of the mfERGs were decreased in the fovea of 1 eye without a CNV. CONCLUSIONS: The choroidal excavation remained stable for 3 years in 2 eyes, a secondary CNV developed in 1 eye during the course of the disease. More cases and longer follow-up periods will be necessary to determine the etiology, clinical course, and visual prognosis of eyes with a choroidal excavation. FAU - Katome, Takashi AU - Katome T AD - Department of Ophthalmology, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan. FAU - Mitamura, Yoshinori AU - Mitamura Y FAU - Hotta, Fumika AU - Hotta F FAU - Niki, Masanori AU - Niki M FAU - Naito, Takeshi AU - Naito T LA - eng PT - Case Reports DEP - 20120326 PL - Switzerland TA - Case Rep Ophthalmol JT - Case reports in ophthalmology JID - 101532006 PMC - PMC3448114 OTO - NOTNLM OT - Choroidal excavation OT - Choroidal neovascularization OT - Optical coherence tomography EDAT- 2012/09/26 06:00 MHDA- 2012/09/26 06:01 PMCR- 2012/03/26 CRDT- 2012/09/26 06:00 PHST- 2012/09/26 06:00 [entrez] PHST- 2012/09/26 06:00 [pubmed] PHST- 2012/09/26 06:01 [medline] PHST- 2012/03/26 00:00 [pmc-release] AID - cop-0003-0096 [pii] AID - 10.1159/000337880 [doi] PST - ppublish SO - Case Rep Ophthalmol. 2012 Jan;3(1):96-103. doi: 10.1159/000337880. Epub 2012 Mar 26.