فهرست نشریات علمی دسترسی آزاد ایران

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.