Pigmented Growing Macular Lesion - Melanoma
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Initial Visit and Photos:
71-year-old man was seen in the office on 8/26/2011. He has been playing tennis and notices poor vision while he is playing. He states his vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. He has cataracts but you were concerned about his macula and suggested he come here for an evaluation.
VISUAL ACUITY: Vision OD is 20/40, OS is 20/25. IOP: 18 in both eyes. His color vision is normal. There is 3+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is an irregularly pigmented lesion in the macula in the right eye. It is a total of 6 mm across and about 6 mm top to bottom. In addition to the pigmented lesion under the macula, which has some orange-looking pigment spots in the center of it, there is another area of atrophy inferior to the optic nerve, a disc diameter away and a disc diameter in size. Then inferonasal to the optic nerve, there is a nevus a disc diameter in size with drusen over the surface.
OS: Vertical C/D ratio is 0.3. There is 2+ asteroid hyalosis and 2+ epiretinal membrane.
ULTRASOUND: The right eye shows the lesion to be about 1 mm thick.
OCT SCAN: The OCT scan of the right eye shows what looks to be a shallow area of subretinal fluid inferior to the fovea. The left eye shows flattening of the macula from the macular pucker.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: The right eye shows hyperfluorescence corresponding to a window defect overlying the nevus. The choroidal vasculature can be easily seen throughout the area in a dependent fashion, suggestive of chronic subretinal fluid. There is also hyperfluorescence inferior to the optic nerve with hypofluorescence over the area of geographic atrophy. There is some stippled hyperfluorescence within the lesion in the late frame. The hyperfluorescence in general fades in the late frames. There is no evidence of any active leakage. The drusen over the surface of the nevus inferonasal to the optic nerve, which is overall dark, do stain in the late frames as well. The left eye is angiographically normal throughout the studies.
IMPRESSION:
1. MACULAR PUCKER – LEFT EYE
2. PROBABLE CHRONIC CHOROIDAL NEVUS WITH CHRONIC SEROUS RETINAL DETACHMENT AND PSEUDORETINITIS PIGMENTOSA CHANGES OVER THE SURFACE OF IT – RIGHT EYE
3. SECOND FLAT BENIGN CHOROIDAL NEVUS INFERONASAL TO THE OPTIC NERVE
4. AREA OF GEOGRAPHIC ATROPHY INFERIOR TO THE OPTIC NERVE, SUGGESTIVE OF PROBABLE CHRONIC SUBRETINAL FLUID
DISCUSSION: I explained to the patient the pigmented lesion in the right eye is atypical looking, but it does look like a benign choroidal nevus which has been there a long time causing pigment epithelial irritation and irregular pigmentation in the macula. There is subretinal fluid associated with it. For now, until we can be completely certain what it is, I suggest we leave the eye alone. I did ask him to return for check in a month. I need to watch it for a few visits to make sure it is not growing, but I doubt it will grow. I am about 99% confident that this is not a malignancy. If it does not grow and we need to deal with the subretinal fluid, it is possible we might be able to do some sort of treatment there, but if the subretinal fluid is not central, I do not know that the risk of that would be worth the potential benefit.
In the meantime, he was asking me about his cataracts. With 20/25 vision in the left eye and a macular pucker and 20/40 vision in the right eye and atrophy from the chronic subretinal fluid, I think the chance of cataract surgery of substantially improving his vision is relatively low and it may not be worth the potential risk. He will see you back regularly as well.
Subsequent Visit - January 3, 2012 (5 months later) - vision is a little worse and the lesion has grown and the patient is seeing more flashing lights. Possible Melanoma v. Unilateral Melanocytic Proliferation
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit and 4 Month Follow-Up - Color Photovista 1024 vecesPigmented lesion is visible in the superior half of the macular on the follow-up visit.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 727 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 693 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 779 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 706 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 645 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 690 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 642 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 595 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 603 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 639 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation -4 Month Follow-Up Imagesvista 536 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 537 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 568 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 581 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 539 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 535 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 513 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 502 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images vista 538 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 477 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 473 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 485 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 477 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 548 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 548 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 495 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images vista 476 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 488 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Imagesvista 459 veces71-year-old man his vision 4 month follow-up. Vision is 20/60 and patient sees flashing lights. Lesion has grown slightly in the superior half of the macula.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 554 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 521 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 518 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 506 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 472 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 563 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 558 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 540 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 491 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 455 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 464 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 574 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 497 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 491 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 503 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 502 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 489 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 488 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 546 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 560 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visitvista 638 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit B Scanvista 887 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit B Scanvista 1406 veces71-year-old man is vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. OD is 20/40, OS is 20/25 - Initial Visit
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Initial Visit and Photos:
71-year-old man was seen in the office on 8/26/2011. He has been playing tennis and notices poor vision while he is playing. He states his vision has been bothering him for about a month. He does not notice one eye particularly worse than the other. He has cataracts but you were concerned about his macula and suggested he come here for an evaluation.
VISUAL ACUITY: Vision OD is 20/40, OS is 20/25. IOP: 18 in both eyes. His color vision is normal. There is 3+ nuclear sclerosis in both eyes.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.3. There is an irregularly pigmented lesion in the macula in the right eye. It is a total of 6 mm across and about 6 mm top to bottom. In addition to the pigmented lesion under the macula, which has some orange-looking pigment spots in the center of it, there is another area of atrophy inferior to the optic nerve, a disc diameter away and a disc diameter in size. Then inferonasal to the optic nerve, there is a nevus a disc diameter in size with drusen over the surface.
OS: Vertical C/D ratio is 0.3. There is 2+ asteroid hyalosis and 2+ epiretinal membrane.
ULTRASOUND: The right eye shows the lesion to be about 1 mm thick.
OCT SCAN: The OCT scan of the right eye shows what looks to be a shallow area of subretinal fluid inferior to the fovea. The left eye shows flattening of the macula from the macular pucker.
PHOTOGRAPHS: Photos confirm clinical findings.
FLUORESCEIN ANGIOGRAPHY: The right eye shows hyperfluorescence corresponding to a window defect overlying the nevus. The choroidal vasculature can be easily seen throughout the area in a dependent fashion, suggestive of chronic subretinal fluid. There is also hyperfluorescence inferior to the optic nerve with hypofluorescence over the area of geographic atrophy. There is some stippled hyperfluorescence within the lesion in the late frame. The hyperfluorescence in general fades in the late frames. There is no evidence of any active leakage. The drusen over the surface of the nevus inferonasal to the optic nerve, which is overall dark, do stain in the late frames as well. The left eye is angiographically normal throughout the studies.
IMPRESSION:
1. MACULAR PUCKER – LEFT EYE
2. PROBABLE CHRONIC CHOROIDAL NEVUS WITH CHRONIC SEROUS RETINAL DETACHMENT AND PSEUDORETINITIS PIGMENTOSA CHANGES OVER THE SURFACE OF IT – RIGHT EYE
3. SECOND FLAT BENIGN CHOROIDAL NEVUS INFERONASAL TO THE OPTIC NERVE
4. AREA OF GEOGRAPHIC ATROPHY INFERIOR TO THE OPTIC NERVE, SUGGESTIVE OF PROBABLE CHRONIC SUBRETINAL FLUID
DISCUSSION: I explained to the patient the pigmented lesion in the right eye is atypical looking, but it does look like a benign choroidal nevus which has been there a long time causing pigment epithelial irritation and irregular pigmentation in the macula. There is subretinal fluid associated with it. For now, until we can be completely certain what it is, I suggest we leave the eye alone. I did ask him to return for check in a month. I need to watch it for a few visits to make sure it is not growing, but I doubt it will grow. I am about 99% confident that this is not a malignancy. If it does not grow and we need to deal with the subretinal fluid, it is possible we might be able to do some sort of treatment there, but if the subretinal fluid is not central, I do not know that the risk of that would be worth the potential benefit.
In the meantime, he was asking me about his cataracts. With 20/25 vision in the left eye and a macular pucker and 20/40 vision in the right eye and atrophy from the chronic subretinal fluid, I think the chance of cataract surgery of substantially improving his vision is relatively low and it may not be worth the potential risk. He will see you back regularly as well.
Subsequent Visit - January 3, 2012 (5 months later) - vision is a little worse and the lesion has grown and the patient is seeing more flashing lights. Possible Melanoma v. Unilateral Melanocytic Proliferation
