Role of Spectralis HRA+OCT spectral domain optical coherence tomography in the diagnosis and management of fungal choroidal granuloma.

OBJECTIVE

To report the usefulness of inverted scan technique using Spectral domain Optical Coherence Tomography (OCT) in inflammatory fungal chorioretinitis.

DESIGN

Case Report-Interventional.

METHODS

We present a 53 year old female with sudden painful blurring of vision in left eye. Ocular examination revealed retinochoroiditis.OCT using the inverted scan technique showed a choroidal mass lesion. Polymerase chain reaction was positive for panfungal genome. She was treated with systemic fluconazole.

RESULTS

Symptoms improved and the choroidal mass was diminished in size after one week of therapy.

CONCLUSIONS

Inverted OCT scan technique is useful in the diagnosis and management of choroidal inflammatory mass lesion.