Focal Choroidal Excavation at Pediatric Age

Abstract

Purpose: To present a case of unilateral focal choroidal excavation (FCE) in a 4-year-old patient.

Methods: Case report

Results: A 4-year-old patient presented with diminished visual acuity of the left eye with no other concomitant symptoms. Fundoscopic examination revealed a whitish-yellow lesion in the fovea, and spectral domain optical coherence tomography (SD-OCT) revealed a local choroidal excavation with depression of the retinal structures. No subretinal fluid was observed. Extensive blood and serum analysis were performed, with no positive results. The diagnosis of unilateral FCE was made.

Conclusion: FCE is a local idiopathic choroidopathy, usually diagnosed through SD-OCT. Its etiology is unknown. Some authors hypothesize that it is a congenital malformation, while other see it as a secondary manifestations of other conditions. To our knowledge, this is the first report of this disease in a patient this young, and we theorize that this condition presents as both a primary defect and secondary to other chorioretinal diseases.