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.