망막밑종괴로 오인하였던 결절맥락막혈관병증에 의한 망막밑혈종 1예

• 영문명: A Case of Subretinal Hematoma Secondary to Polypoidal Choroidal Vasculopathy Misunderstood as a Subretinal Mass
• 발행기관: 대한안과학회
• 저자명: 김재훈 문남주 조호균,Jae Hoon Kim, MD, Nam Ju Moon, MD, PhD, Ho Kyun Cho, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number4, 616~622쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.04.15

영문 초록

Purpose: To report a case of subretinal hematoma secondary to polypoidal choroidal vasculopathy (PCV) misunderstood as a subretinal mass. Case summary: A 73-year-old man with no specific medical history visited our clinic with decreased vision in the right eye. Slit-lamp examination revealed no specific findings for the anterior segment of the right eye. Upon fundus examination, an elevated macular lesion with some subretinal hemorrhages was observed, and a subretinal mass lesion was found on ultrasonography. After performing fluorescein angiography, indocyanine green angiography, and magnetic resonance imaging, we presumed that this lesion was a subretinal hematoma or ocular tumor and recommended observation. One month later, the subretinal mass had decreased in size. One year later, PCV with large retinal pigment epithelial detachment (RPED) was observed. After the intravitreal bevacizumab injection, RPED and macular edema were improved. Conclusions: We confirmed PCV with a subretinal hematoma and large RPED which seemed to be a subretinal mass and was difficult to differentiate from ocular tumors. J Korean Ophthalmol Soc 2010;51(4):616-622

키워드

Ocular tumor, Polypoidal choroidal vasculopathy, Retinal pigment epithelial detachment, Subretinal hematoma, Subretinal mass