Skip to main content
  • Blink

    Can You Guess December's Mystery Condition?

    Download PDF

    Make your diagnosis in the comments, and look for the answer in next month’s Blink.

    Fluoresce¬in angiogram of a 7-year-old.


    Last Month’s Blink

    Bilateral Focal Choroidal Excavation

    Written by Mark J. Daily, MD, Wheaton Eye Clinic, Wheaton, Ill. Photo from Wheaton Eye Clinic.

    Fluorescein angiograms and OCTs of a 38-year-old woman with choroidal excavation.

    After years of experiencing variable double vision and difficulty with reading fine print, a 38-year-old woman was found to have focal choroidal excavation in both eyes (Figs. 1, 2). VA was 20/20 in the right eye and 20/25 in the left. The patient had been treated by her optometrist with prism lenses, but she had no other ocular disorders. Idiopathic focal choroidal excavation may be a stable congenital condition found on routine examination; however, choroidal excavation may also develop secondary to inflammatory conditions or central serous retinopathy. We recommended that the patient be followed in one year, as the lesions would likely be stable.

    Read your colleagues’ discussion.

    BLINK SUBMISSIONS: Send us your ophthalmic image and its explanation in 150-250 words. E-mail to, fax to 415-561-8575, or mail to EyeNet Magazine, 655 Beach Street, San Francisco, CA 94109. Please note that EyeNet reserves the right to edit Blink submissions.