Choroidal Haemangioma

Fundus photograph (1), green-free image (2) and red-free image (3)

Binocular retinal examination shows a circumscribed elevation at the macula. This is less apparent on 2-dimensional retinal photos where the elevated area appears as an apparent variation in pigmentation.

Stereoscopic view of the macula (right eye)

Please view image with a stereoviewer or 15 prism dioptres base out.

The stereoscopic view of the macula shows it to be raised.

Optomap widefield image and fundus autofluorescence image (right eye)

Widefield imaging gives an indication of the size of the area that is raised and fundus autofluorescence imaging shows a hyper-autofluorescent ring surrounding the macula.

Spectralis OCT line scans (right macula)

OCT imaging shows the retinal elevation corresponds to a hypo-reflective choroidal mass. There are no signs of hyper-reflectivity or associated posterior shadowing on OCT that would typically be observed with choroidal naevi. There is no overlying subretinal or intraretinal fluid.

Spectralis OCT radial macular scan (right eye)

The radial scan demonstrates the elevated, circumscribed nature of the choroidal mass.

Cirrus macular thickness map

OCT macular thickness scans show the right macular thickness (measured from the retinal pigment epithelium to the internal limiting membrane) to be within normal limits while the horizontal line scans show the significant elevation of the right macula compared with the left (unaffected) macula.

B-Scan ultrasound (right eye)

B-scan ultrasound through this lesion reveals high internal reflectivity and does not show posterior shadowing that would be observed in cases of calcification.