IOTM: Choroidal Nevus with Drusen
Image of the Month (IOTM) is a collection of interesting clinical cases with high quality images for all relevant imaging modalities (ex: color fundus, OCT, OCTA, FAF, FA, En Face, Red-free, choroidal vasculography (CVG), anterior imaging) and other clinical results if relevant (ex: visual field plots). Each case is submitted by an eye care professional using one of Topcon’s industry-leading OCT devices.
35 year-old male referred for choroidal nevus in the right eye. BCVA was 20/20 and the patient was asymptomatic. Examination of the right eye revealed a 2 disc diameter pigmented choroidal nevus temporal to the macula. Swept-Source OCT (Image A) demonstrated a flat lesion with backscattering and overlying RPE elevation suggestive of drusen. Fundus autofluorescence (Image B) revealed central hypo-autofluorescence in the nevus. Enface OCT (Image C) revealed a well-circumscribed flat lesion.
— Netan Choudhry, MD FRCS(C) FASRS
Diagnosis: Choroidal Nevus with Drusen
Captured with: Topcon DRI OCT Triton Swept-Source
DRI OCT Triton Images:
A. Swept Source OCT Images
B. Fundus Autofluorescence and True Color Fundus Montage Images
C. Enface OCT Image
The opinions, ideas, views and assumptions expressed are the author’s own and do not necessarily represent the views of Topcon, nor do they constitute advice from Topcon.