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Focal Choroidal Excavation (FCE)

Introduction

Pathogenesis is unclear, but is apart of the pachychoroid disease spectrum. May be complicated by CNV

Dead Giveaways

Fundus

  • Conforming

    • Choroid dips, retina follows
      Choroid dips, retina follows
    • No deviation or ectasia of sclera

    • Pachy vessels can be seen under retina

  • Non-conforming

    • Choroid dips, but retina does not follow
      Choroid dips, but retina does not follow
    • Retina maintains own normal structures



diagnostic features

If occurring with CNV, will be worse


On fundus image, there may be pigmentary changes.

2025, made by Eric Qin. UNSW. SOVS

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