Choroidal Hemangioma in Pregnancy and Post-Partum: A Case Report
Author: Aleza Andron
Base Hospital / Institution: Shaare Zedek Medical Center
ePoster presentation
Abstract ID: 25-223
Purpose
Choroidal hemangioma (CH) is a vascular hamartoma that may cause visual deterioration due to subretinal fluid leakage. Several reports have pointed out the possible association between pregnancy and excess of subretinal leakage from CH. We report a case of a 30-week pregnant woman with new onset visual symptoms and a suspicious lesion with typical features of a CH. The patient was monitored with no intervention, and on first visit 5 days post-partum, spontaneous improvement was reported with resolution of the subretinal fluid.
Methods
Retrospective Case Report
Results
: A 40-year-old 30-week pregnant woman presented to the ocular oncology service at Sheba Medical Center with new-onset visual deterioration in her right eye. She reported no past ocular or systemic history. The left eye was normal with 6/6 visual acuity (VA). On right eye examination, VA was 6/12, anterior segment was normal, and fundoscopy revealed a pale elevated choroidal lesion in the macular region, with overlying subretinal fluid. B-scan ultrasound demonstrated a hyperechoic choroidal lesion, the dimensions of which were 4.91-6.61 mm in base diameter and 1.86 mm in elevation. A-scan found the lesion to have medium internal reflectivity, and optical coherence tomography (OCT) showed a shallow retinal detachment surrounding the lesion. The working diagnosis was a CH and a decision was made to monitor the patient with no further investigations or interventions until after delivery. The patient was seen once again at week 35 of pregnancy, with no significant change in her condition. On follow-up visit, 5 days after delivery, the patient reported improvement in symptoms and on examination, spontaneous resolution of the subretinal fluid was noticed, demonstrated also on OCT.
Conclusion
Choroidal hemangioma is a potentially sight-threatening lesion that may exacerbate during pregnancy. A watchful waiting approach should be considered, as spontaneous resolution of subretinal fluid may occur after delivery.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Dai | Viki | Sheba Medical Center |
| Ido | Fabian | Sheba Medical Center |
