脉络膜血管瘤较为罕见,临床分为弥漫型和孤立型,后者早期并发视网膜脱离,易拟诊视网膜脱离而误诊误治。现报告将孤立型脉络膜血管瘤误诊为裂孔原性视网膜脱离一例。病例:男性,44岁。于1988年6月左眼被擦伤,当地医院检查视力:左0.9,右1.5。以后左眼视力逐渐下降伴眼前黑影。伤后2年半左眼视力降到0.1。此期间多次在外院检查,考虑为“玻璃体混浊或屈光不正”给予对症治疗未见好转。1991年1月外院诊断“左眼视网膜脱 Choroidal hemangioma is relatively rare, clinically divided into diffuse and isolated type, the latter with retinal detachment early, easy diagnosis of retinal detachment misdiagnosis and mistreatment. Reported isolated solitary choroidal hemangiomas misdiagnosed as iatrogenic retinal detachment in one case. Case: Male, 44 years old. In June 1988 the left eye was bruised, the local hospital check vision: left 0.9, right 1.5. After the visual acuity decreased gradually with the dark shadow. 2 and a half months after injury left eye vision decreased to 0.1. During this period many times in the hospital examination, consider as “vitreous opacity or refractive error” to give symptomatic treatment did not improve. January 1991 outside the hospital diagnosis of "left eye retinal detachment