Differential diagnosis of peripheral exudative hemorrhagic chorioretinopathy and neoplasm of the choroid (clinical case)
- 作者: Malafeeva A.1, Alyabev M.1, Getmantseva Y.1, Kulikov A.1, Maltsev D.1
-
隶属关系:
- S.M. Kirov Military Medical Academy
- 期: 卷 14, 编号 3 (2021)
- 页面: 77-82
- 栏目: Case reports
- URL: https://journals.rcsi.science/ov/article/view/70291
- DOI: https://doi.org/10.17816/OV70291
- ID: 70291
如何引用文章
详细
Peripheral exudative hemorrhagic chorioretinopathy is a relatively rare and difficult to diagnose disease. This condition is clinically similar to choroidal melanoma, which is why it is called “pseudomelanoma”. An erroneous diagnosis of choroidal melanoma can lead to the wrong choice of aggressive treatment tactics. The aim of this work was to present a case of differential diagnosis of suspected neoplasm of the choroid with peripheral exudative hemorrhagic chorioretinopathy. The described clinical case demonstrates characteristic clinical picture and results of ultrasound with Doppler mapping, spectral optical coherence tomography, optical coherence tomography–angiography, scanning laser ophthalmoscopy for this condition, as well as important differential diagnostic signs of choroidal melanoma. Complaints, history, clinical picture and the results of instrumental examinations were characteristic of peripheral exudative hemorrhagic chorioretinopathy and allowed to exclude the diagnosis of choroidal neoplasm. Pathogenetic treatment (intravitreal injection of anti-VEGF agents) and observation were recommended to the patient, since this disease often affects both eyes. The main differential diagnostic criterion for suspected choroidal melanoma is Doppler ultrasound imaging. In difficult clinical cases, structural optical coherence tomography, optical coherence tomography–angiography, and scanning laser ophthalmoscopy provide valuable additional information for verifying the diagnosis.
作者简介
Anna Malafeeva
S.M. Kirov Military Medical Academy
Email: anutka.kuznetsova@gmail.com
MD, Ophthalmologist
俄罗斯联邦, 6, Acad. Lebedevа str., Saint Petersburg, 194044Matvey Alyabev
S.M. Kirov Military Medical Academy
Email: condratpr70@yandex.ru
Candidate of Medical Sciences, Deputy Head of the Department of Ophthalmology
俄罗斯联邦, 6, Acad. Lebedevа str., Saint Petersburg, 194044Yuliya Getmantseva
S.M. Kirov Military Medical Academy
编辑信件的主要联系方式.
Email: getmancevaa@gmail.com
clinical resident
俄罗斯联邦, 6, Acad. Lebedevа str., Saint Petersburg, 194044Alexei Kulikov
S.M. Kirov Military Medical Academy
Email: alexey.kulikov@mail.ru
ORCID iD: 0000-0002-5274-6993
Doctor of Medical Science, Head of the Department Ophthalmology
俄罗斯联邦, 6, Acad. Lebedevа str., Saint Petersburg, 194044Dmitrii Maltsev
S.M. Kirov Military Medical Academy
Email: glaz.med@yandex.ru
ORCID iD: 0000-0001-6598-3982
Doctor of Medical Science, Ophthalmologist
俄罗斯联邦, 6, Acad. Lebedevа str., Saint Petersburg, 194044参考
- Brovkina AF. Differentsial’naya diagnostika melanomy khorioidei. Ophthalmology Journal. 2008;1(4):68–76. (In Russ.)
- Takayama K, Enoki T, Kojima T, et al. Treatment of peripheral exudative hemorrhagic chorioretinopathy by intravitreal injections of ranibizumab. Clin Ophthalmol. 2012;2012(6):865–869. doi: 10.2147/OPTH.S31640
- Vandefonteyne S, Caujolle J-P, Rosier L, et al. Diagnosis and treatment of peripheral exudative haemorrhagic chorioretinopathy. Br J Ophthalmol. 2020;104(6):874–878. doi: 10.1136/bjophthalmol-2018-313307
- Stoffelns B, Laspas P, Arad T. Peripheral Exudative Hemorrhagic Chorioretinopathy (PEHCR) Simulating a Malignant Melanoma of the Choroid. Klin Monbl Augenheilkd. 2019;236(4):575–577. doi: 10.1055/a-0832-1770
- Mazal Z. Peripheral exudative hemorrhagic chorioretinopathy. Cesk Slov Oftalmol. 2019;75(2):80–84. doi: 10.31348/2019/2/4
- Samkovich EV, Panova IE. Doppler ultrasound imaging in the study of blood supply to choroidal melanoma. Medicine. 2020;8(1):125–135. (In Russ.) doi: 10.29234/2308-9113-2020-8-1-125-135
- Doga AV, Pedanova EK, Volodin PL, Mayorova AM. Current aspects of diagnosis and treatment of polypoidal choroidal vasculopathy. Fyodorov Journal of Ophthalmic Surgery. 2017;(1):88–92. (In Russ.) doi: 10.25276/0235-4160-2017-1-88-92
- Brovkina AF, Stoyukhina AS, Musatkina IV. Circumscribed choroidal hemangioma: clinical course and treatment. Russian Journal of Clinical Ophthalmology. 2020;20(2):56–62. (In Russ.) doi: 10.32364/2311-7729-2020-20-2-56-62
补充文件
![](/img/style/loading.gif)