Development of focal choroidal excavation in non-neovascular age related macular degeneration with pachy-choroid features

Purpose: to present a documented case of development of focal choroidal excavation (fce) in non-neovascular age related macular degeneration (amd). methods: an 86-year-old female with pachy-choroid was followed clinically for non-neovascular amd. successive optical coherence tomography (oct) scans were reviewed with tracking software. results: over the course of follow-up development of a fce adjacent to a pachy-vessel along with disappearance of the pachy-vessel was documented in oct. conclusions: this case is a documented development of fce in an eye with pachy-choroid features. the possible mechanism in this scenario may be thrombosis of pachy-vessels.