DOI: 10.36347/sjmcr.2017.v05i03.017

Pages: 187-189

We present an extremely rare case of sunset glow fundus following a choroidal tumor-like lesion in a 47-year-old woman. Fundus examination revealed a pale yellowish elevated lesion with retinal folds in the left eye. Two weeks after the initial visit, the elevated lesion became gradually flattened but spread to the macular region. In addition, the elevated lesion with serous retinal detachment was developed in the right eye. Fluorescein angiography demonstrated the multiple hyperfluorescent spots with late leakage. She was initially thought to have a choroidal tumor. However, in spite of systemic investigation, a diagnosis could not be made. Three months after the initial visit, funduscopy showed a red area, the "sunset glow", in the inferotemporal quadrant. This case resembles Vogt-Koyanagi-Harada disease because of the red coloration in the fundus, iridocyclitis, and human leukocyte antigen-DR4 positivity. However, other findings were not compatible with the criteria of Vogt-Koyanagi-Harada disease.