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Most viewed - Choroidal Melanoma and Choroidal Nevus

Radiation Retinopathy and Macular Pucker 4 years following Brachytherapy (Plaque) for Nasal Melanoma543 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.

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images543 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.

Choroidal Melanoma Medium541 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 â€œnearly resolvedâ€. 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

Uveal Choroidal Melanoma541 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.

Uveal Choroidal Melanoma539 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.

Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man 538 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)

Ciliary Body Melanoma536 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.

Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man 535 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)

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit535 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

Melanocytoma - Lightly Pigmented534 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU

533 views

Radiation Retinopathy and Macular Pucker 4 years following Brachytherapy (Plaque) for Nasal Melanoma533 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.

Medium Choroidal Melanoma Left Eye 533 views

Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man 530 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)

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit529 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

Medium Choroidal Melanoma Left Eye 529 views

527 views

Radiation Retinopathy and Macular Pucker 4 years following Brachytherapy (Plaque) for Nasal Melanoma526 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.

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit525 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

Medium Choroidal Melanoma Left Eye 525 views

Radiation Retinopathy and Macular Pucker 4 years following Brachytherapy (Plaque) for Nasal Melanoma524 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.

523 views

Choroidal Melanoma (Medium) Exudative Retinal Detachment 523 views87-year-old man noticed a new onset floater a few months ago. OD is 20/40, OS is 20/30

Medium Choroidal Melanoma Left Eye 522 views

Melanocytoma - Lightly Pigmented522 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU

Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man 521 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)

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images521 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.

Medium Choroidal Melanoma Left Eye 521 views

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images520 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.

Medium Choroidal Melanoma Left Eye 519 views

Atypical High Risk Choroidal Nevus vs Macular Melanoma519 views70 year old female with vision loss in the left eye for a few weeks. She was referred to a tumor center and being managed as an "atypical high risk choroidal nevus". The size is 6 mm x 6.5 mm x 1.6 mm (elevated).
Vision 20/40 - having serial avastin injections.

Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man 518 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)

Amelanotic Choroidal Nevus - Multimodal Imaging518 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.

517 views

Ciliary Body Melanoma516 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.

Choroidal Melanoma Medium515 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 â€œnearly resolvedâ€. 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

515 views

Medium Choroidal Melanoma Left Eye 515 views

Uveal Choroidal Melanoma514 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.

Choroidal Melanoma Medium512 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 â€œnearly resolvedâ€. 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

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit512 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

Choroidal Melanoma (Medium) Exudative Retinal Detachment 512 views87-year-old man noticed a new onset floater a few months ago. OD is 20/40, OS is 20/30

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images510 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.

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit510 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

Choroidal Melanoma Medium509 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 â€œnearly resolvedâ€. 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

509 views

Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man 509 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)

Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man 508 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)

Medium Choroidal Melanoma Left Eye 508 views

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit507 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

Amelanotic Choroidal Nevus - Multimodal Imaging507 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.

Choroidal Melanoma Medium506 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 â€œnearly resolvedâ€. 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

Choroidal Melanoma (Medium) Exudative Retinal Detachment 506 views87-year-old man noticed a new onset floater a few months ago. OD is 20/40, OS is 20/30

Choroidal Melanoma Medium505 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 â€œnearly resolvedâ€. 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

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit505 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

Atypical High Risk Choroidal Nevus vs Macular Melanoma505 views70 year old female with vision loss in the left eye for a few weeks. She was referred to a tumor center and being managed as an "atypical high risk choroidal nevus". The size is 6 mm x 6.5 mm x 1.6 mm (elevated).
Vision 20/40 - having serial avastin injections.

Nevus - Large - Color Photo503 viewsNevus
James L. Perron, C.R.A.

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit502 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

Choroidal Melanoma Medium501 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 â€œnearly resolvedâ€. 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

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit501 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

Choroidal Melanoma (Medium) Exudative Retinal Detachment 501 views87-year-old man noticed a new onset floater a few months ago. OD is 20/40, OS is 20/30

Atypical High Risk Choroidal Nevus vs Macular Melanoma501 views70 year old female with vision loss in the left eye for a few weeks. She was referred to a tumor center and being managed as an "atypical high risk choroidal nevus". The size is 6 mm x 6.5 mm x 1.6 mm (elevated).
Vision 20/40 - having serial avastin injections.

Choroidal Melanoma with Retinal Detachment500 viewsChoroidal Melanoma centering off the optic nerve with retinal detachment inferiorly in the right eye.

Melanocytoma - Lightly Pigmented500 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU

499 views

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images499 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.

Uveal Choroidal Melanoma499 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.

Choroidal Nevus499 viewsFundus exam shows choroidal nevus, inferior nasally in the right eye. VA is 20/40 in the right eye. BSCAN shows nevus is 2mm thick with no orange pigment. Will be reevaluated in 3-months

Choroidal Melanoma Medium498 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 â€œnearly resolvedâ€. 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

Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man 498 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)

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images498 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.

Medium Choroidal Melanoma Left Eye 498 views

Uveal Choroidal Melanoma496 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.

Medium Choroidal Melanoma Left Eye 496 views

Atypical High Risk Choroidal Nevus vs Macular Melanoma496 views70 year old female with vision loss in the left eye for a few weeks. She was referred to a tumor center and being managed as an "atypical high risk choroidal nevus". The size is 6 mm x 6.5 mm x 1.6 mm (elevated).
Vision 20/40 - having serial avastin injections.

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images495 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.

Choroidal Melanoma495 viewsEval for choroidal melanoma in the left eye. Fundus photo shows large choroidal mass centralized over the macula in the left eye.

Choroidal Nevus with Drusen495 views82 year old female with flat nevus for 3 years.

494 views

Ciliary Body Melanoma493 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.

Melanosis Oculi and Choroidal Melanoma493 views88 year old female with 2.5 mm elevated choroidal melanoma and melanosis oculi. She also has geographic atrophy from AMD. The right eye is the better eye with 20/40 vision. After observation with growth, brachytherapy was done.

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images 492 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.

Choroidal Melanoma (Medium) Exudative Retinal Detachment 492 views87-year-old man noticed a new onset floater a few months ago. OD is 20/40, OS is 20/30

Melanocytoma - Lightly Pigmented492 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU

Melanosis Oculi and Choroidal Melanoma492 views88 year old female with 2.5 mm elevated choroidal melanoma and melanosis oculi. She also has geographic atrophy from AMD. The right eye is the better eye with 20/40 vision. After observation with growth, brachytherapy was done.

Amelanotic Choroidal Nevus - Multimodal Imaging492 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.

Radiation Retinopathy and Macular Pucker 4 years following Brachytherapy (Plaque) for Nasal Melanoma491 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.

Medium Choroidal Melanoma Left Eye 491 views

Choroidal Melanoma (Medium) Exudative Retinal Detachment 490 views87-year-old man noticed a new onset floater a few months ago. OD is 20/40, OS is 20/30

Choroidal Melanoma Medium488 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 â€œnearly resolvedâ€. 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

Amelanotic Choroidal Nevus - Multimodal Imaging488 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.

Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images487 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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