A 49-year-old male with high myopia (−7D in OD and − 8D in OS) had localized hypopigmented area in OU [Fig. 1a and b, arrow], which were seen as conforming focal choroidal excavation (FCE) on optical coherence tomography [Fig. 1c and d]. FCE, a recently described entity, is diagnosed on optical coherence tomography as one or more areas of focal depressions in the choroid in the absence of posterior staphyloma or scleral ectasia.[1] Recent studies have labeled it as a manifestation of pachychoroid spectrum[2] though it has been described in the setting of high myopia (where choroid is thin) as well.[3,4] This report highlights that better knowledge of this entity may result in its more frequent recognition.
Figure 1.
Color fundus photograph of right and left eyes (a and b) showing tilted disc, temporal peripapillary atrophy, and hypopigmented lesion near the fovea (block arrows). Line arrows present direction of OCT scans. SSOCT through the hypopigmented lesions of right and left eyes (c and d) showing conforming focal choroidal excavation with localized thinning of choroid
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References
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