PMC3133004_01
Case 1. Fundus photograph. Massive yellowish lesion, temporal to fovea, with an exudative detachment involving the fovea and choroidal folds.
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Funduscopic examination of the right eye revealed a single yellowish choroidal mass temporal to the macula associated with an exudative detachment in the inferior retina (Figure 1).
Case 1. Fluorescein angiography sequence. Pronounced choroidal folds and early hyperfluorescence, with leakage and some pin points.
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Fluorescein angiography (FA) exhibited an early heterogenous hyperfluorescence (Figure 2).
Case 1. B-scan ultrasonography. Thickening of the ocular coats associated with subretinal fluid adjacent to the mass (A). There is no orbital shadowing. Mass was prominent in the vitreous cavity and measured 11 mm x 4.6 mm (B).
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B-scan ultrasonography showed a dome-shaped mass with fluid in the subretinal space (Figure 3).
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Case 2. Fundus photograph. Unique and massive orange-yellow protruding lesion temporal to macula with an exudative detachment involving the fovea and extending inferiorly.
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Right fundus examination exhibited a unique and massive yellowish lesion temporal to fovea with an exudative detachment involving the fovea and extending inferiorly (Figure 4).
Case 2. Fluorescein angiography sequence. Progressive and heterogeneous hyperfluorescence, with pin points temporal to the mass.
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There was no dual circulation (Figure 5).
Case 2. Optical coherence tomography. Serous retinal detachment and elevation of the retina depending on a choroidal mass.
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Optical coherence tomography examination highlighted serous subretinal fluid surrounding an elevation of the retina (Figure 6).
Case 2. Brain magnetic resonance imaging in FLAIR (fluid-attenuated inversion recovery sequence) (A), T1 weighted with gadolinium (B) and STIR (short-tau inversion recovery sequence) (C). The nodular lesion appears in well limited hypersignal in the right eye, with no gadolinium enhancement. The hypersignal is most prominent in the STIR sequence.
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Brain MRI showed a high-signal dome-shaped lesion on fluid-attenuated inversion recovery sequences (Figure 7).
Case 2. Fluorescein angiography 2 weeks after the first examination. Punctuated hyperfluorescence in place of the initial lesion, suggesting retinal pigment epithelium atrophy.
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FA showed a punctuated hyperfluorescence in place of the initial lesion, suggesting retinal pigment epithelium atrophy (Figure 8).