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    Can You Guess December's Mystery Condition?

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    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.

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