121. Macular Elevation
A 44-year-old presents with a yellowish deep retinal lesion.
The inner retina is intact and has a normal orderly progression. The inner plexiform layer (IPL), inner nuclear (INL), outer plexiform (OPL) and outer nuclear layer (ONL) are all normal and clearly visible. Beneath the photoreceptors, there is a pocket of subretinal fluid. Beneath the RPE the choriocapillaris is visible and perfused. There is a dome-shaped elevation of the deeper choroid.
This patient was diagnosed with a circumscribed choroidal hemangioma.
A dome-shaped elevation beneath the RPE represents a tumour, until proven otherwise.
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