Focal Choroidal Elevations: Localized Pigment Epithelial Contour Alterations due to Isolated Choroidal Vessels

Figure 4

Imaging characteristic of a large focal choroidal elevation simulating a pigment epithelial detachment in atrophic age-related macular degeneration. (a) Color fundus photograph demonstrating drusen and an orange-red foveal lesion which appeared elevated on ophthalmoscopy. (b) Scanning laser ophthalmoscopic image with green arrow corresponding to raster position for SD-OCT in (c) revealing a large focal choroidal elevation (FCE); lumen = 239 μm which corresponds to the lesion in (a). (d) Adjacent raster scan reveals evidence of a posterior ciliary vessel continuous with the FCE (arrow).