Last additions - Nevus - Peripapillary 37-year-old woman was seen in the office on July 27, 2011. She has photographs from 2009 and 2010 showing a peripapillary choroidal nevus in the right eye. She was concerned about the possibility of it being something dangerous and comes here for an evaluation. Her vision is fine.
VISUAL ACUITY: OD 20/20, OS 20/25. IOP: OD 15, OS 14. The Amsler grid is normal in both eyes.
SLIT EXAMINATION: Normal with clear lenses.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.6. There is a peripapillary choroidal pigmented lesion extending about a disc and a half diameter inferior to the optic nerve and a disc and half diameter nasal to the optic nerve and just rounding about the top of the optic nerve at about 800 microns away from the border. It is definitely in the choroid.
OS: Vertical C/D ratio is 0.6. There is no posterior vitreous separation. There is a small patch of lattice degeneration at the equator at 1 o’clock. Photos confirm clinical findings.
IMPRESSION:
1. PROBABLE BENIGN CHOROIDAL NEVUS – RIGHT EYE
2. LATTICE DEGENERATION – LEFT EYE
DISCUSSION: I explained to the patient that lesion in the right eye does look like it is probably a benign choroidal nevus. The photos from 2009 and 2010 are the same as the photos from today. There is a small possibility with these peripapillary choroidal nevi that sometimes they can be indicative of a more significant lesion than the orbit that starts from the choroidal space and grows backwards. An MRI of the Orbits to rule out orbital melanoma was obtained and was negative.
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Peripapillary Choroidal Nevus900 views37-year-old woman was seen in the office on July 27, 2011. She has photographs from 2009 and 2010 showing a peripapillary choroidal nevus in the right eye. VISUAL ACUITY: OD 20/20Sep 02, 2011
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Peripapillary Choroidal Nevus806 views37-year-old woman was seen in the office on July 27, 2011. She has photographs from 2009 and 2010 showing a peripapillary choroidal nevus in the right eye. VISUAL ACUITY: OD 20/20Sep 02, 2011
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Peripapillary Choroidal Nevus687 views37-year-old woman was seen in the office on July 27, 2011. She has photographs from 2009 and 2010 showing a peripapillary choroidal nevus in the right eye. VISUAL ACUITY: OD 20/20Sep 02, 2011
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Peripapillary Choroidal Nevus1029 views37-year-old woman was seen in the office on July 27, 2011. She has photographs from 2009 and 2010 showing a peripapillary choroidal nevus in the right eye. VISUAL ACUITY: OD 20/20Sep 02, 2011
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37-year-old woman was seen in the office on July 27, 2011. She has photographs from 2009 and 2010 showing a peripapillary choroidal nevus in the right eye. She was concerned about the possibility of it being something dangerous and comes here for an evaluation. Her vision is fine.
VISUAL ACUITY: OD 20/20, OS 20/25. IOP: OD 15, OS 14. The Amsler grid is normal in both eyes.
SLIT EXAMINATION: Normal with clear lenses.
EXTENDED OPHTHALMOSCOPY:
OD: Vertical C/D ratio is 0.6. There is a peripapillary choroidal pigmented lesion extending about a disc and a half diameter inferior to the optic nerve and a disc and half diameter nasal to the optic nerve and just rounding about the top of the optic nerve at about 800 microns away from the border. It is definitely in the choroid.
OS: Vertical C/D ratio is 0.6. There is no posterior vitreous separation. There is a small patch of lattice degeneration at the equator at 1 o’clock. Photos confirm clinical findings.
IMPRESSION:
1. PROBABLE BENIGN CHOROIDAL NEVUS – RIGHT EYE
2. LATTICE DEGENERATION – LEFT EYE
DISCUSSION: I explained to the patient that lesion in the right eye does look like it is probably a benign choroidal nevus. The photos from 2009 and 2010 are the same as the photos from today. There is a small possibility with these peripapillary choroidal nevi that sometimes they can be indicative of a more significant lesion than the orbit that starts from the choroidal space and grows backwards. An MRI of the Orbits to rule out orbital melanoma was obtained and was negative.
