This patient has an isolated choroidal hemangioma. The extent of the lesion is difficult to appreciate on the Optos color photograph, but becomes more obvious on the red Optos channel (633nm) which best visualizes the choroid.
The OCT shows overlying cystic changes which is causing increasing visual symptoms.
Photodynamic therapy was performed in hopes of decreasing the macular leakage.
Learning Points:
Isolated choroidal hemangiomas are benign vascular tumors. The lesion can be difficult to see with the color photograph and is better visualized with the red channel, fundus autofluorescence, and fluoroscein angiography.
