Unilateral Ocular Mass in a Patient with Migraine Headaches

Sayena Jabbehdari, Michael J Heiferman, William F Mieler

Department of Ophthalmology and Visual Sciences, University of Illinois, USA

^*Correspondance to: William F Mieler 

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Abstract:

Purpose: This case report discusses a case of unilateral ocular mass and migraine headaches in a 28-year-old female who was referred to the retina service. Observations: Funduscopic examination, Spectral Domain Optical Coherence Tomography (SDOCT) and B-scan echography revealed diffuse choroidal thickening with moderate homogeneity and alteration of choroidal color. Additionally, there was asymmetry in the appearance of the optic nerves. All of these findings accompanied with the history of glaucoma led us to ask the patient specifically if she had a facial hemangioma earlier in childhood. Reviewing photographs from her childhood demonstrated the presence of a prominent facial hemangioma with left upper eyelid involvement, confirming the diagnosis of diffuse choroidal hemangioma in the setting of Sturge- Weber Syndrome (SWS). Conclusion and Importance: Since the patient had no Cystoid Macular Edema (CME), subretinal fluid, and/or retinal detachment, our management consisted of close observation with serial dilated fundus examinations.

Keywords:

Choroidal thickness; Diffuse choroidal hemangioma; Ocular mass; Sturge-weber syndrome

Cite the Article:

Jabbehdari S, Heiferman MJ, Mieler WF. Unilateral Ocular Mass in a Patient with Migraine Headaches. Ann Clin Case Rep. 2020; 5: 1884..