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Most viewed - Choroidal Melanoma and Choroidal Nevus

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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female1638 views11-year-old child with CHRPE OS has six undescended adult teeth and also she has had a cyst removed from her arm pit and she has three more in her arm pit and one on her face and she is seeing a dermatologist for that in the near future. The mother reports no health problems, however, the patient’s grandmother does have a history of intestinal polyps, as does the patient’s grandmother’s brothers son.
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Macular Choroidal Nevus1233 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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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female1229 views11-year-old child with CHRPE OS has six undescended adult teeth and also she has had a cyst removed from her arm pit and she has three more in her arm pit and one on her face and she is seeing a dermatologist for that in the near future. The mother reports no health problems, however, the patient’s grandmother does have a history of intestinal polyps, as does the patient’s grandmother’s brothers son.
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Amelanotic Choroidal Nevus 1222 views45-year-old man OD 20/20, OS 20/20. 5x5 mm flat, yellow choroidal lesion just inferonasal to the optic nerve, two disc-diameters from the nerve with scalloped edges. It looks like a confluent drusen, but it is not elevated.
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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female1202 views11-year-old child with CHRPE OS has six undescended adult teeth and also she has had a cyst removed from her arm pit and she has three more in her arm pit and one on her face and she is seeing a dermatologist for that in the near future. The mother reports no health problems, however, the patient’s grandmother does have a history of intestinal polyps, as does the patient’s grandmother’s brothers son.
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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female1154 views11-year-old child with CHRPE OS has six undescended adult teeth and also she has had a cyst removed from her arm pit and she has three more in her arm pit and one on her face and she is seeing a dermatologist for that in the near future. The mother reports no health problems, however, the patient’s grandmother does have a history of intestinal polyps, as does the patient’s grandmother’s brothers son.
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Grouped pigmentation - Bear Tracks1097 views71 year old caucasian woman with incidental finding of extensive grouped RPE hypertrophy. Routine colonoscopy performed in the preceding year was normal.
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Amelanotic Choroidal Nevus 1024 views45-year-old man OD 20/20, OS 20/20. 5x5 mm flat, yellow choroidal lesion just inferonasal to the optic nerve, two disc-diameters from the nerve with scalloped edges. It looks like a confluent drusen, but it is not elevated.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit B Scan965 views71-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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Choroidal Melanoma951 views
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Melanoma896 views40 Year old male
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Choroidal Melanoma881 views
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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man B Scan - Transverse837 views82-year-old man who had 3 falls 2 weeks ago. After the falls he started checking his vision and noticed there was a veil over the left eye, which he had seen for about two weeks in the superior visual field. OD 20/25, OS 20/40
(patient was medically never well enough for brachytherapy and died 6 months later from heart disease)
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Multiple - Congenital Hypertrophy of the Pigment Epithelium - CHRPE - Gardner Syndrome812 views63 Year Old woman with a history of colon cancer at age 32. She has also had thyroid cancer. Two of her 6 siblings died of cancer, one of sarcoma and one of lung cancer. Vision 20/30, 20/25. Fundus shows CHRPE in both eyes.
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Radioactive Plaque Placement for Choroidal Melanoma Iodine Radioactive Seeds in Plaque798 views
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Melanoma796 viewsYoung male with large Melanoma
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Peripapillary Choroidal Nevus795 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 20/20
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Choroidal Melanoma with Retinal Detachment777 views57 year old female who underwent proton beam therapy for Choroidal Melanoma. VA was 20/400 at post op visit.
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Multiple - Congenital Hypertrophy of the Pigment Epithelium - CHRPE - Gardner Syndrome775 views63 Year Old woman with a history of colon cancer at age 32. She has also had thyroid cancer. Two of her 6 siblings died of cancer, one of sarcoma and one of lung cancer. Vision 20/30, 20/25. Fundus shows CHRPE in both eyes.
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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man B Scan Ultrasound Longitudinal765 views82-year-old man who had 3 falls 2 weeks ago. After the falls he started checking his vision and noticed there was a veil over the left eye, which he had seen for about two weeks in the superior visual field. OD 20/25, OS 20/40
(patient was medically never well enough for brachytherapy and died 6 months later from heart disease)
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Choroidal Melanoma with Radiation Retinopathy736 viewsPatient comes with follow up on Choroidal Melanoma, Right Eye that was treated back in June of 2009 with Radioactive Implant. Vein Occlusion is also present with VA - Hand Motion. Hemorrhages visible with hard exudates from the Radiation Retinopathy.
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Choroidal Nevus with Overlying Drusen731 views48-year-old woman Vision OD is 20/16, OS is 20/20.
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Multiple - Congenital Hypertrophy of the Pigment Epithelium - CHRPE - Gardner Syndrome712 views63 Year Old woman with a history of colon cancer at age 32. She has also had thyroid cancer. Two of her 6 siblings died of cancer, one of sarcoma and one of lung cancer. Vision 20/30, 20/25. Fundus shows CHRPE in both eyes.
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Placed but not Sutured to Eye Yet710 views
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Peripapillary Choroidal Nevus709 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 20/20
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Radioactive Plaque Placement for Choroidal Melanoma Eye is Anesthetized Prior to Surgery703 views
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CHOROIDAL Melanoma702 views
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Melanoma - Large Ciliary Body Photo shows tumor visible through the pupil676 views
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Chorodial Melanoma669 views80 year old male came in for retinal evaluation and presented with a melanoma.
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Amelanotic Nevus Initial Visit666 views
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Radioactive Plaque Placement for Choroidal Melanoma Eye After Surgery with Conjunctiva Closed657 views
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Radioactive Plaque Placement for Choroidal Melanoma Radioactive Plaque Placement for Choroidal Melanoma 651 views
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit and 4 Month Follow-Up - Color Photo648 viewsPigmented lesion is visible in the superior half of the macular on the follow-up visit.
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Amelanotic Choroidal Nevus 647 views45-year-old man OD 20/20, OS 20/20. 5x5 mm flat, yellow choroidal lesion just inferonasal to the optic nerve, two disc-diameters from the nerve with scalloped edges. It looks like a confluent drusen, but it is not elevated.
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Placed but not Sutured to Eye Ye635 views
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Choroidal Nevus with Overlying Drusen630 views48-year-old woman Vision OD is 20/16, OS is 20/20.
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Placed but not Sutured to Eye Ye629 views
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Sutured to Globe596 views
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Choroidal Nevus with Overlying Drusen591 views48-year-old woman Vision OD is 20/16, OS is 20/20.
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Amelanotic Choroidal Nevus 582 views45-year-old man OD 20/20, OS 20/20. 5x5 mm flat, yellow choroidal lesion just inferonasal to the optic nerve, two disc-diameters from the nerve with scalloped edges. It looks like a confluent drusen, but it is not elevated.
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Amelanotic Choroidal Nevus 576 views45-year-old man OD 20/20, OS 20/20. 5x5 mm flat, yellow choroidal lesion just inferonasal to the optic nerve, two disc-diameters from the nerve with scalloped edges. It looks like a confluent drusen, but it is not elevated.
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Choroidal Tumor consistent with Uveal Melanoma568 viewsPatient comes in for second opinion for 2-melanomas in the right eye. Patient's VA is 20/20, both eyes. Fundus exam reveals melanoma superior to the macula which measured at 0.7-mm thick. Second melanoma is nasally which measured at 4.1-mm thick and has low internal reflectivity. Patient will be followed up with MRI and ocular protocol.
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Radioactive Plaque Placement for Choroidal Melanoma Gold Plaque about the size of a Quarter564 views
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Choroidal Melanoma560 viewsPatient comes in with spot in vision in the right eye. Fundus photography shows medium size melanoma adjacent to the optic nerve and measures 13mm across horizontally and 6mm diameter in thickness. Patient will undergo proton beam therapy.
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Choroidal Melanoma with Sub Retinal Fluid555 viewsFundus photography shows choroidal melanoma superiorily between 11-12-o'clock in the left eye. VA is 20/150 in the left eye.
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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma 553 views
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Sutured to Globe549 views
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Choroidal Melanoma with Retinal Detachment549 views57 year old female who underwent proton beam therapy for Choroidal Melanoma. VA was 20/400 at post op visit.
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Radioactive Plaque Placement for Choroidal Melanoma Lead Patch after Surgery543 views
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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma Arrow Points to Tumor Shadow539 views
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Multiple - Congenital Hypertrophy of the Pigment Epithelium - CHRPE - Gardner Syndrome537 views63 Year Old woman with a history of colon cancer at age 32. She has also had thyroid cancer. Two of her 6 siblings died of cancer, one of sarcoma and one of lung cancer. Vision 20/30, 20/25. Fundus shows CHRPE in both eyes.
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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma 532 views
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Peripapillary Choroidal Nevus525 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 20/20
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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma 524 views
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Choroidal Nevus in Macula 523 views
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6mm x 11mm Melanoma520 views76 year old male present with a 6mm x 1mm melanoma. Large melanoma very nasal OS. Asteroid Hyalosis present OS only. VA 20/40 OD 20/40 OS.
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Choroidal Nevus in Macula 519 views
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Choroidal Nevus515 viewsPatient comes in with pigmented spot in the right eye. VA is 20/25. Fundus photography shows elevated choroidal nevus inferiorily in the right eye. Will be reevaluated in 3-months...
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit B Scan514 views71-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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Melanoma of Optic Nerve509 viewsPatient comes in for evaluation on Optic Nerve Melanoma in the right eye. Patient's VA is 20/40 in the right eye. Fundus photograph reveals melanoma invading optic nerve and ultrasound reveals behind the optic nerve as well.
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Melanoma - Large Ciliary Body B-Scan ultrasound shows tumore filling much of the eye508 views
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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man B Scan Ultrasound Longitudinal506 views82-year-old man who had 3 falls 2 weeks ago. After the falls he started checking his vision and noticed there was a veil over the left eye, which he had seen for about two weeks in the superior visual field. OD 20/25, OS 20/40
(patient was medically never well enough for brachytherapy and died 6 months later from heart disease)
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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man B Scan Ultrasound Transverce502 views82-year-old man who had 3 falls 2 weeks ago. After the falls he started checking his vision and noticed there was a veil over the left eye, which he had seen for about two weeks in the superior visual field. OD 20/25, OS 20/40
(patient was medically never well enough for brachytherapy and died 6 months later from heart disease)
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Large Choroidal Melanoma with Retinal Detachment502 viewsPatient notices a decline in her vision for the past 3-weeks in her right eye. VA was light perception in the right eye. Fundus photo shows a very large melanoma temporal to the optic nerve and retinal detachment inferiorly. Patient will under go proton beam therapy.
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Choroidal Melanoma501 viewsFemale patient comes in with a visual defect in the right eye. VA is 20/40 in the right eye. Fundus photography shows choroidal melanoma with retinal detachment temporally at 3-o'clock in the right eye.
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Amelanotic Nevus - 1 year Follow-up Visit - No Change489 views
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Choroidal Melanoma (Medium) Exudative Retinal Detachment 481 views87-year-old man noticed a new onset floater a few months ago. OD is 20/40, OS is 20/30
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Melanoma - Large Ciliary Body Photo shows tumor visible throught the pupil479 views
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Peripapillary Choroidal Nevus462 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 20/20
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Choroidal Melanoma456 viewsPost op Radioactive Implant with hard exudates surrounding the Melanoma with hemorrhage present.
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Uveal Choroidal Melanoma450 viewsPatient comes in for evaluation on a Choroidal Melanoma in the right eye. VA was 20/25 in both eyes. The melanoma is in the temporal aspect of the right eye. It measured at 0.7mm elevated after doing a BSCAN Ultrasound.
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Ciliary Body Melanoma450 views71-year old male who was recently diagnosed with a large ciliary body melanoma that is pushing into the anterior chamber of the left eye. Patient is going to proceed with proton therapy.
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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma Arrow Points to Tumor Shadow443 views
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images438 views71-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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Metastasis Choroidal Melanoma 428 views71-year old female who has undergone chemotherapy treatment for breast cancer. Choroidal Melanoma was from metastasis from her breast cancer. VA is 20/20 as the tumor is in the superior aspect above the optic nerve.
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Choroidal Nevus with Drusen428 viewsLow risk choroidal nevus with many overlying drusen
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Treated Choroidal Melanoma422 viewsFollow up patient for melanoma in the right eye that was treated with proton beam therapy. VA is 20/50 in the right eye. Fundus photo shows scattered hemorrhages inferiorly with tumor temporal inferior at 8-o'clock. Patient will be followed up in 6-months
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images410 views71-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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Radiation Retinopathy and Macular Pucker 4 years following Brachytherapy (Plaque) for Nasal Melanoma409 views67-year-old woman has a macular pucker in the left eye. She had radiation for a melanoma in that eye 4 years aog. She had cataract surgery 2 years ago and a posterior sub-Tenon Kenalog injection in 7 months ago. Her vision in the left eye is hazy and she has trouble seeing out of it. VA OS 20/70.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit408 views71-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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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man 407 views82-year-old man who had 3 falls 2 weeks ago. After the falls he started checking his vision and noticed there was a veil over the left eye, which he had seen for about two weeks in the superior visual field. OD 20/25, OS 20/40
(patient was medically never well enough for brachytherapy and died 6 months later from heart disease)
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Choroidal Malignant Melanoma - early phase FA405 viewsearly phase of FA at 23 seconds (Choroidal malignant melanoma status post plaque radiotherapy OD in 1986, patient also has a submacular hemorrhage OD, and radiation retinopathy OD.)
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images403 views71-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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Melanoma - Large Ciliary Body A scan shows medium to low internal reflectivity395 views
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Treated Melanoma394 viewsTreated melanoma in the right eye. VA is light perception in the right eye.
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Choroidal Melanoma Medium380 views33-year-old man with a history of decreased in the right eye. He had blurring in the eye about a year ago. He reports that it improved spontaneously until it was “nearly resolved”. He said he had some persistent distortion, but that over the past couple of weeks he has noticed this dark spot recurring in the right eye, the left eye is unaffected. He does not have any flashes, floaters or change in his peripheral visual acuity. 20/80 OD, 20/16 OS. No improvement with pinhole. IOP: 12 OD, 11 OS.

POSTERIOR SEGMENT EXAMINATION: Shows a clear view with no PVD in either eye. C/D ratio is 0.2 OU. Large retinal vessels are unremarkable. The macula of the right eye has a brown choroidal lesion with pigment overlying the surface and orange spots along its lateral surface. The left macula is normal.
B-SCAN: B-scan ecography of the ultrasound of the right eye shows a mass about 5 mm high with a moderate to low internal reflectivity on A-scan echogram. There is serous fluid inferiorly on the echogram
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images380 views71-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 Images376 views71-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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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man 372 views82-year-old man who had 3 falls 2 weeks ago. After the falls he started checking his vision and noticed there was a veil over the left eye, which he had seen for about two weeks in the superior visual field. OD 20/25, OS 20/40
(patient was medically never well enough for brachytherapy and died 6 months later from heart disease)
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Choroidal Melanoma (Medium) Exudative Retinal Detachment 370 views87-year-old man noticed a new onset floater a few months ago. OD is 20/40, OS is 20/30
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Choroidal Melanoma369 views
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Choroidal Melanoma362 views
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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man 354 views82-year-old man who had 3 falls 2 weeks ago. After the falls he started checking his vision and noticed there was a veil over the left eye, which he had seen for about two weeks in the superior visual field. OD 20/25, OS 20/40
(patient was medically never well enough for brachytherapy and died 6 months later from heart disease)
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Choroidal Nevus with Drusen354 viewsLow risk choroidal nevus with many overlying drusen
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images353 views71-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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Melanoma - Large Ciliary Body B Scan Ultrasound352 views
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Choroidal Nevus with Drusen352 viewsLow risk choroidal nevus with many overlying drusen
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Choroidal Melanoma347 views
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Ciliary Body Melanoma345 views71-year old male who was recently diagnosed with a large ciliary body melanoma that is pushing into the anterior chamber of the left eye. Patient is going to proceed with proton therapy.
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