Clinical evaluation of an early-onset left esotropia in an adolescent revealed a large macular lesion with extensive posterior pole retinochoroidal atrophy from superior arcade to inferior arcade. The lesion also showed pigmentary changes over the base, edges and beyond, along with a popcorn-like calcification just above the inferior arcade. Swept-source optical CT (SS-OCT) confirmed extensive chorioretinal thinning with hyper-reflective foci corresponding to the calcification, and optical CT angiography revealed a disorganised superficial retinal plexus. Likewise, fundus screening of the other eye showed a well-defined fleshy mass lesion along the temporal retina in absence of any calcification. SS-OCT of the left eye lesion showed intraretinal mass with poorly defined retinal layers.
- medical education
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Patient consent for publication Obtained.
Contributors All authors have evaluated the case in detail followed by optimal evaluation using different modalities. All authors after critically analysing the educational value of the case wrote the report together.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.