Role of Spectralis HRA+OCT spectral domain optical coherence tomography in the diagnosis and management of fungal choroidal granuloma.

OBJECTIVE: To report the usefulness of inverted scan technique using Spectral domain Optical Coherence Tomography (OCT) in inflammatory fungal chorioretinitis. DESIGN: Case Report-Interventional. METHODS: We present a 53 year old female with sudden painful blurring of vision in left eye. Ocular examination revealed retinochoroiditis.OCT using the inverted scan technique showed a choroidal mass lesion. Polymerase chain reaction was positive for panfungal genome. She was treated with systemic fluconazole. RESULTS: Symptoms improved and the choroidal mass was diminished in size after one week of therapy. CONCLUSIONS: Inverted OCT scan technique is useful in the diagnosis and management of choroidal inflammatory mass lesion.