Clinical course of inflammatory choroidal neovascularization associated with focal choroidal excavation

PURPOSE: To report the clinical course of focal choroidal excavation associated with choroidal neovascularization in a case of choroidal inflammation. METHODS: Case report. RESULTS: A 41-year-old man presented with blurred vision and metamorphopsia in his left eye. Multimodal imaging including optical coherence tomography angiography showed nonconforming focal choroidal excavation in the setting of choroidal inflammation and the presence of choroidal neovascularization at the border of the excavation, nicely visualized by optical coherence tomography angiography. Pattern alteration from nonconforming to conforming focal choroidal excavation and choroidal neovascularization involution were observed after treatment with oral steroids. CONCLUSION: Multimodal imaging, including optical coherence tomography angiography, allowed to detect and monitor pattern focal choroidal excavation transformation and choroidal neovascularization reduction after treatment with oral steroids.