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2008 Series : December 2, 2008

December 30, 2008  |  December 23, 2008  |  December 16, 2008  |  December 9, 2008  |  December 2, 2008  |  November 25, 2008  |  November 18, 2008  |  November 11, 2008  |  November 4, 2008  |  October 28, 2008  |  October 21, 2008  |  October 14, 2008  |  October 7, 2008  |  September 30, 2008  |  September 23, 2008  |  September 16, 2008  |  September 9, 2008  |  September 2, 2008  |  August 26, 2008  |  August 19, 2008  |  August 12, 2008  |  August 5, 2008  |  July 29, 2008  |  July 22, 2008  |  July 15, 2008  |  July 8, 2008  |  July 1, 2008  |  June 24, 2008  |  June 17, 2008  |  June 10, 2008  |  June 3, 2008  |  May 27, 2008  |  May 20, 2008  |  May 13, 2008  |  May 6, 2008  |  April 29, 2008  |  April 22, 2008  |  April 15, 2008  |  April 8, 2008  |  April 1, 2008  |  March 25, 2008  |  March 18, 2008  |  March 11, 2008  |  March 4, 2008  |  February 26, 2008  |  February 19, 2008  |  February 12, 2008  |  February 5, 2008  |  January 29, 2008  |  January 22, 2008  |  January 15, 2008  |  January 8, 2008  |  January 1, 2008

To see views enlarged, click on the individual pictures...

Case20C Case20B

Case20A
Figure 1
Figure 2
Figure 3
Photos courtesy of: Carol L. Shields, M.D.
Used with permission. Not to be reproduced.

A 48-year-old white male complained of flashes in center of his right eye field of vision. He was diagnosed elsewhere as having a choroidal nevus and observation was advised. The patient came for a second opinion. The patientís father had undergone treatment for skin melanoma. On examination, his best corrected visual acuity was 20/40 in right eye and 20/20 in left eye. Anterior segment examination was unremarkable in both eyes. Fundus examination was normal in left eye and the figures above show the fundus picture, fluorescein angiography (FFA) and ocularcoherence tomography (OCT) scan through the tumor [Fig 1, 2, 3]. B scan measured the lesion dimensions as 6mm x 6mm x 1.6mm.

1. What is your clinical diagnosis?

a. choroidal nevus
b. choroidal malignant melanoma
c. choroidal metastasis
d. optic disc melanocytoma

2. How would you manage this case?

a. observation
b. plaque radiotherapy
c. enucleation
d.

trans-pupillary thermotherapy

For answers to the above, click here on or after December 9, 2008.

 

 

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