With 21 locations, 21 physicians (growing to 23 in September), Mid Atlantic Retina is the premier medical practice for retina services. WE ARE NO LONGER ACCEPTING APPLICATIONS FOR THIS POSITION. WillsEye Physicians, Mid Atlantic Retina. Because of the scleral location of this lesion in every patient, a new name, focal scleral nodule, is proposed.Ĭopyright © 2020 American Academy of Ophthalmology. Additional associated features included documentation of deep margin on swept-source OCT, trace subretinal fluid in a few patients, and OCTA evidence of lesional flow voids. The yellow and white clinical appearance may be related to scleral unmasking resulting from atrophy of overlying tissues. In this largest series to date, multimodal imaging of SIC demonstrated a scleral location in all patients. One lesion demonstrated growth and another lesion showed spontaneous resolution. Four lesions (6%) were identified at the macula, leading to visual loss in 1 patient. OCT angiography was performed in 13 eyes and demonstrated associated choroidal and lesional flow voids. Retinal pigment epithelial disruption and overlying retinal thinning was observed in 56% and 57%, respectively. Mild subretinal fluid was observed overlying the lesions in 9 patients (14%). Overlying choroidal thinning or absence was seen in 95% (mean choroidal thickness, 28 ± 35 μm). On OCT, the deep lesion margin was visible in 12 eyes with a mean lesion thickness of 0.6 mm. The lesions all appeared as an elevated subretinal mass, with OCT demonstrating all lesions to be confined to the sclera, not the choroid. The lesions measured a mean of 2.4 × 2.1 mm in basal diameter, were located inferior (64%) or nasal to the optic disc, and appeared yellow (53%). Mean follow-up duration in 39 patients was 39 ± 55 months (range, 1 month-25 years). Mean age at presentation was 56 ± 15 years (range, 12-83 years). Standardized grading of imaging features. Multimodal imaging included color fundus photography, OCT (including swept-source OCT), OCT angiography (OCTA), fundus autofluorescence, fluorescein and indocyanine green angiography, and B-scan ultrasonography. Multicenter retrospective observational case series.ĭemographic and clinical data were collected. To evaluate multimodal imaging findings of solitary idiopathic choroiditis (SIC also known as unifocal helioid choroiditis) to clarify its origin, anatomic location, and natural course.
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