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Choroidal hemangioma in pregnancy and post-partum: A case report

To report a patient with choroidal hemangioma (CH) presenting in the third trimester of pregnancy, with visual symptoms and subretinal fluid. A 42-year-old 30-week pregnant woman presented to the ocular oncology service, with new-onset visual deterioration in her right eye. Fundoscopy revealed an orange elevated choroidal lesion in the macular region, with overlying subretinal fluid. The working diagnosis was a CH and a decision was made to monitor the patient until after delivery. Post-partum, the patient reported improvement in symptoms, and on examination, spontaneous resolution of the subretinal fluid was noticed, demonstrated also on optical coherence tomography (OCT). CH is a potentially sight-threatening lesion that may exacerbate during pregnancy. A watchful waiting approach should be considered, as a spontaneous resolution of subretinal fluid may occur after delivery.