Combined OCT and SLO Imaging of Juxtapapillary Choroidal Nevus in Two Consecutive Cases

1. Nancy Chen¹
2. Tzu Lun Huang¹
3. Rong Kung Tsai^1,2

¹Department of Ophthalmology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
²Department of Ophthalmology and Visual Science, Tzu Chi University, Hualien, Taiwan

Purpose: We described two middle-aged Asian female patients with unilateral juxtapapillary choroidal nevi.

Method: Retrospective case report of two consecutive cases.

Results: In the two patients with juxtapapillary choroidal nevi, one was found incidentally without significant symptoms, and the other had visual field defect upon diagnosis. Besides routine ophthalmic examinations, the characteristics of combined spectral domain optical coherence tomography (OCT) and scanning laser ophthalmoscope (SLO) imaging (NIDEK, advanced OCT/SLO system, RS-3000) of the juxtapapillary lesions and the changes of the contiguous structure were documented. The features of the in vivo cross-section, including extension of the juxtapapillary nevus, deformed retinal layers, retinoschisis, disrupted RPE and other subtle structure changes, were recorded in well-oriented details.

Conclusion: The OCT findings are complementary for diagnosis and for periodic follow-up in choroidal melanocytic lesions.