Razavi Journal of Medicine

Razavi Journal of Medicine

Peripapillary Intrachoroidal Cavitation, A Rare Finding in Myopic Eye: A Case Report

Document Type : Case Report/Series

Authors
Saeed Karimi
Mohsen Zare
Omid Emadi
Shima Azizi
Department of Ophthalmology, Torfeh Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
10.30483/rijm.2025.254607.1392
Abstract
Background: To describe peripapillary intrathyroidal cavitation in a patient with pathologic myopia and to summarize the literature on its pathophysiology, clinical manifestations, and diagnostic imaging using optical coherence tomography.
 
Case Presentation: We present an asymptomatic 65-year-old man with high myopia who was referred to our clinic with a suspected peripapillary choroidal tumor in the left eye. A comprehensive ophthalmologic examination was conducted. Anterior segment exam showed bilateral moderate crystalline lens opacity. A Fundus exam showed classic myopic fundus changes, including a tilted optic disc, posterior staphyloma, chorioretinal atrophy in both eyes, and a peripapillary yellow lesion raising suspicion for choroidal cavitation in the left eye. The diagnosis was confirmed with swept-source optical coherence tomography by demonstrating an intrachoroidal hyporeflective area beneath healthy RPE and scleral posterior bowing, compatible with choroidal cavitation.
 
Conclusion: Peripapillary intrachoroidal cavitation should be considered a differential diagnosis of congenital disc malformations, peripapillary choroidal neovascularization, and choroidal tumors in myopic eyes.
Keywords
Peripapillary Intrachoroidal Cavitation
Pathological Myopia
Optical Coherence Tomography

Acknowledgements: not applicable.

 

Availability of data and materials: Not applicable (already published related data in the text).

 

Conflicts of interests: The authors declare they have no competing interests.

 

Consent for publication: Written informed consent for publication of their clinical details and clinical images was obtained from the patient.

 

Ethics approval and consent to participate: Written informed consent was obtained from the patient to publish this case report and accompanying images. A copy of the written consent is available for review.

 

Financial disclosure: Not applicable (There is no funding).

 

Author contributions: S. K. made the diagnosis, supervised, and confirmed the draft. M.Z., O. E, Sh. A. gathered the data and drafted the manuscript.

 

Transparency statement: The corresponding author (Reza Asadi) affirms that this manuscript is an honest, accurate, and transparent account of the study being reported; that no important aspects of the study have been omitted; and that any discrepancies from the study as planned (and if relevant, registered) have been explained. All authors have read and approved the final version of the manuscript. The corresponding author also had full access to all of the data in this study and takes complete responsibility for the integrity of the data and the accuracy of the data analysis.

 

 

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

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Razavi Journal of Medicine
Volume 13, Issue 3
Summer 2025
Pages 67-70