Serial Imaging

A growing choroidal lesion: the importance of serial imaging

A 57-year-old woman is referred with a growing left macular lesion and a hypermetropic shift in visual acuity. Serial OCT demonstrates interval growth of a choroidal lesion with an overlying serous PED, raising a broad differential that includes circumscribed choroidal haemangioma, CSCR spectrum disease, and choroidal melanoma.

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Loss of vision after an elective procedure

A 40-year-old woman wakes from elective endovascular coiling of a paraophthalmic ICA aneurysm with no perception of light in the left eye. Serial OCT over three months illustrates the acute and chronic phases of central retinal artery occlusion, with apparent cilioretinal artery sparing but NPL vision raising the possibility of concurrent ischaemic optic neuropathy.

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