Patient Presentation: A 66-year-old male was referred for decreased vision and metamorphopsia OS. His past ocular history is significant for central serous chorioretinopathy OS that self-resolved fifteen years ago. His medical history is significant for diabetes mellitus type II, chronic obstructive pulmonary disease, and a past episode of myocardial infarction. His current medications include metformin, sitagliptin, empagliflozin, rosuvastatin, lisinopril, aspirin and albuterol. He had a 11-year smoking history. On examination, BCVA is 20/30 OD and 20/60 OS. There is no RAPD and IOP is stable. The patient’s OCT macula (OS) is shown below:
Question: Please describe the findings on this OCT.
Question: The patient returns several months later, and a repeat OCT macula is performed as shown above. Which of the following types of focal choroidal excavation does the patient present with?
Question: Which of the following conditions are focal choroidal excavations associated with?
Question: Which of the following are possible treatment strategies for this patient?
1) To understand the role of OCT as the gold standard technique in diagnosing focal choroidal excavations
2) To understand focal choroidal excavation associated complications or conditions