[Choroidal tumor in a young woman].

A 33-year-old woman presented with unilateral visual impairment since 2 months. A yellowish, prominent lesion was visible in the macula on funduscopy. Spectral domain OCT revealed a choroidal tumor with overlying subretinal fluid and subretinal hyperreflective material. Following a thorough examination including MRI, CT, coloscopy, bone scintigraphy, positron emission tomography and lymph node biopsy, the diagnosis of a choroidal granuloma with systemic sarcoidosis was made. After treatment with systemic steroids over 2 months the choroidal tumor flattened and visual acuity increased from 20/50 to 20/20.