PRESUMED CHOROIDAL GRANULOMA WITH VITREOUS HEMORRHAGE RESEMBLING CHOROIDAL MELANOMA

This report describes a presumed choroidal granuloma with vitreous hem orrhage resembling choroidal melanoma. A healthy 31-year-old man, who had progressive vision loss in the right eye during 1 month, was found to have a yellow-white juxtapapillary choroidal mass. Fluorescein ang iography demonstrated a choroidal neovascular membrane over the lesion . There was focal persistent hypofluorescence in the late phase of flu orescein angiography. The thickness of the lesion increased from 3.0 m m to 7.1 mm during 1 month. Subretinal and vitreous hemorrhage develop ed. The patient was suspected to have a choroidal granuloma and choroi dal neovascular membrane, and was treated with oral steroids. Ten mont hs later, the vitreous blood cleared completely with an attached retin a. Control of inflammation may have a role in the treatment of idiopat hic choroidal granulomas and some choroidal neovascular membranes seco ndary to ocular inflammation.