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78-year-old woman has choroidal nevus in the macula of the left eye. You asked her to come in here for an evaluation and nevus was noted in the past about 7 years ago. She has not noticed any change in vision in that eye. VISUAL ACUITY: OU 20/30. IOP: OD 15, OS 12. There is 3+ nuclear sclerosis OU. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.1. There is a posterior vitreous separation and rare drusen. OS: Vertical C/D ratio is 0.1. There is a posterior vitreous separation and 2 disc diameter flat irregular pigmented nevus just inferior to the fovea in the left eye with multiple drusen over the surface. IMPRESSION: CHOROIDAL NEVUS IN THE LEFT EYE. DISCUSSION: I explained to the patient that the nevus does look benign. I asked her to return to see you periodically. I told her she does not need to return here unless you or she note further problems. I asked her to follow her vision and follow the Amsler grid. The risk of the nevus undergoing malignant transformation is only about 1 in 20,000. There is probably though about 1 in 100 risk of her developing neovascular membrane there, which could cause vision loss and may need treatment in the end

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Macular Choroidal Nevus243 views78-year-old woman has choroidal nevus in the macula of the left eye. You asked her to come in here for an evaluation and nevus was noted in the past about 7 years ago. She has not noticed any change in vision in that eye.

VISUAL ACUITY: OU 20/30.
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78-year-old woman has choroidal nevus in the macula of the left eye. You asked her to come in here for an evaluation and nevus was noted in the past about 7 years ago. She has not noticed any change in vision in that eye. VISUAL ACUITY: OU 20/30. IOP: OD 15, OS 12. There is 3+ nuclear sclerosis OU. EXTENDED OPHTHALMOSCOPY: OD: Vertical C/D ratio is 0.1. There is a posterior vitreous separation and rare drusen. OS: Vertical C/D ratio is 0.1. There is a posterior vitreous separation and 2 disc diameter flat irregular pigmented nevus just inferior to the fovea in the left eye with multiple drusen over the surface. IMPRESSION: CHOROIDAL NEVUS IN THE LEFT EYE. DISCUSSION: I explained to the patient that the nevus does look benign. I asked her to return to see you periodically. I told her she does not need to return here unless you or she note further problems. I asked her to follow her vision and follow the Amsler grid. The risk of the nevus undergoing malignant transformation is only about 1 in 20,000. There is probably though about 1 in 100 risk of her developing neovascular membrane there, which could cause vision loss and may need treatment in the end