PMC6498954_01
(A) Fundus photo on presentation showing a yellow-white mass in the retina, abruptly elevated without vessels distributed amongst the lesion. (B) High magnification image of (A). We can see details of the shape and boundary features of the lesion. (C) OCT-SD: hyperreflective smooth surface elevated retinal mass with optical shadow posterior to the lesion. (D) Ultrasound shows a mass without calcifications (arrow). (E) Fundus autofluorescence shows mild hypoautofluorescence with a small nidus of hyperautofluorescence. (F) Visual fields analysis showed an enlarged blind spot because the lesion is almost attached to the optic nerve. The visual field shows a large scotoma away from the blind spot not related to PSCRAP (encircling).
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Ophthalmoscopy revealed a yellow-white lesion of one-fourth of papillary diameter and the edges slightly blurred located between the superior temporal vein and artery blood vessels close to the optic nerve (Figure 1A and B). Optical coherence spectral tomography (SD-OCT) showed a hyperreflective mass on the RPE with a smooth, well-defined border in form of a snowball and a slight optical acoustic shadow (Figure 1C). B scan ultrasonography showed an elevated mass without calcifications (Figure 1D). Fundus autofluorescence showed mild hypoautofluorescence with a small nidus of hyperautofluorescence (Figure 1E). Visual field examination showed an enlargement of the blind spot corresponding to the predominantly superotemporal juxtapapillary extension of the lesion (Figure 1F).
Fundus image showing spontaneous PSCRAP regression 8 months after diagnosis, leaving normal-appearing retina.
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Eight months after the first visit, the lesion spontaneously regressed leaving a retina of normal appearance (Figure 2).