Rhegmatogenous Retinal Detachment Associated With a Retinal Tear Overlying a Choroidal Nevus

Purpose The purpose of the study is to report a case of a rhegmatogenous retinal detachment (RRD) associated with a retinal tear overlying a choroidal nevus. Methods This study is a case report. Results A 66‐year‐old female patient has been referred to our department because of a retinal detachment in her left eye. Her ocular history was notable for a choroidal nevus in her left eye, which has been under observation for the past 11 years without any signs of malignancy or abnormal changes. Dilated funduscopic examination revealed a superior macula‐off bullous RRD that originated from a retinal tear located at the previously observed choroidal nevus. The patient successfully underwent a 23‐g vitrectomy and cryotherapy with SF6 gas tamponade, combined with cataract surgery and biopsy. Conclusion While choroidal nevi are relatively prevalent, the specific progression to RRD due to a tear is a rare occurrence in clinical practice, and it presents with unique diagnostic and therapeutic challenges.