Uveal effusion exhibits various clinical presentations, some of which may l
ead to erroneous diagnosis and mimic a choroidal tumor.
A 73-year-old female patient displayed a choroidal lesion with a tumoral ap
pearance spontaneously affecting her right eye. Ultrasonography did not est
ablish the diagnosis, leaving doubt for a tumor. In addition to the tumor -
like lesion, a moderate inflammation was found in her right eye. The clini
cal course was favorable and one month after the initial examination, no fu
ndus abnormalities were observed. The delay imposed by the MRI examination
contributed to the lack of any active treatment.
Apart from cases occurring postoperatively, the diagnosis of uveal effusion
may sometimes be difficult to establish. In order to avoid enucleation and
even ii ultrasonography is helpful in reaching the correct diagnosis, it s
eems appropriate to wait and regularly follow up the patients when the diag
nosis is not certain. The clinical course might be helpful to establish the
diagnosis. Our case suggests that in pseudotumoral forms of uveal effusion
, we should repeat clinical examination and ultrasonography in order to man
age these patients appropriately.