This 56YO highly myopic male has 20/20 vision in his right eye with an asymptomatic temporal foveal focal choroidal excavation (FCE). No treatment was recommended.
Learning Points:
Focal choroidal excavation, originally described by Jampol et al. in 2006, is likely part of the pachychoroid spectrum, as it is usually associated with a thickened choroid and pachyvessels.
The FCE can be observed, although symptomatic manifestations, including active central serous retinopathy or macular neovascularization, often require treatment.
An excellent review is by Verma et al, Br J Ophthalmol 2021;105:1043-1048.
