Most viewed - Choroidal Melanoma and Choroidal Nevus
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Choroidal Melanoma Medium487 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 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
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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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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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Choroidal Melanoma (Medium) Exudative Retinal Detachment 487 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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Radiation Retinopathy and Macular Pucker 4 years following Brachytherapy (Plaque) for Nasal Melanoma486 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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Medium Choroidal Melanoma Left Eye 486 views
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Choroidal Melanoma (Medium) Exudative Retinal Detachment 485 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 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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Uveal Choroidal Melanoma480 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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Medium Choroidal Melanoma Left Eye 480 views
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Choroidal Melanoma with Sub Retinal Fluid479 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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Melanosis Oculi and Choroidal Melanoma479 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.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit478 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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Melanosis Oculi and Choroidal Melanoma478 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.
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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man 477 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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Uveal Choroidal Melanoma477 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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Choroidal Nevus with Drusen477 views82 year old female with flat nevus for 3 years.
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Melanosis Oculi and Choroidal Melanoma476 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.
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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man 475 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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Uveal Choroidal Melanoma475 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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Choroidal Nevus with Drusen475 views82 year old female with flat nevus for 3 years.
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Medium Choroidal Melanoma Left Eye 474 views
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Atypical High Risk Choroidal Nevus vs Macular Melanoma474 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.
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Choroidal Melanoma Medium473 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 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
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473 views
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images473 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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Multiple Uveal Choroidal Nevi473 viewsPatient referred for CHRPE which in this case has unusual appearance. VA is 20/20 in the both eyes. Distinguishing if there was any relation to polyposis. This is not CHRPE.
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Amelanotic Choroidal Nevus - Multimodal Imaging473 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Medium Choroidal Melanoma Left Eye 472 views
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Melanocytoma - Lightly Pigmented472 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU
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Melanocytoma - Lightly Pigmented471 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU
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Melanocytoma - Lightly Pigmented471 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU
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Atypical High Risk Choroidal Nevus vs Macular Melanoma471 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.
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Choroidal Melanoma (Medium) Exudative Retinal Detachment 469 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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467 views
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Choroidal Melanoma (Medium) Exudative Retinal Detachment 467 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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Radiation Retinopathy and Macular Pucker 4 years following Brachytherapy (Plaque) for Nasal Melanoma466 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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Melanocytoma - Lightly Pigmented466 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU
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Melanosis Oculi and Choroidal Melanoma465 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.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit463 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 (Medium) Exudative Retinal Detachment 463 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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Uveal Choroidal Melanoma463 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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Multiple Uveal Choroidal Nevi463 viewsPatient referred for CHRPE which in this case has unusual appearance. VA is 20/20 in the both eyes. Distinguishing if there was any relation to polyposis. This is not CHRPE.
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Amelanotic Choroidal Nevus - Multimodal Imaging462 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Amelanotic Choroidal Nevus - Multimodal Imaging462 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Amelanotic Choroidal Nevus462 views60 year old man. Nevus is stable over 6 years. Images are Photo, FAF, OCT, FA, ICG, and B-Scan
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Large Choroidal Melanoma with Retinal Detachment461 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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Atypical High Risk Choroidal Nevus vs Macular Melanoma461 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.
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Melanocytoma - Lightly Pigmented459 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU
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Amelanotic Choroidal Nevus - Multimodal Imaging459 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Choroidal Melanoma (Medium) Exudative Retinal Detachment 457 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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Atypical High Risk Choroidal Nevus vs Macular Melanoma457 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.
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Amelanotic Choroidal Nevus - Multimodal Imaging457 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Choroidal Melanoma (Medium) Exudative Retinal Detachment 456 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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Melanocytoma - Lightly Pigmented456 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU
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Melanosis Oculi and Choroidal Melanoma456 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.
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Choroidal Nevus with Drusen455 views82 year old female with flat nevus for 3 years.
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Amelanotic Choroidal Nevus - Multimodal Imaging455 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Radiation Retinopathy and Macular Pucker 4 years following Brachytherapy (Plaque) for Nasal Melanoma454 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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Melanosis Oculi and Choroidal Melanoma454 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.
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Uveal Choroidal Melanoma452 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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Large Choroidal Nevus452 viewsYoung male patient who comes in for follow up on choroidal nevus in the right eye. VA is 20/30 in the right eye. Fundus montage photo shows very large nevus branched out from the macula to the temporal aspect of the right eye. Patient will be followed up in 3-months.
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Amelanotic Choroidal Nevus - Multimodal Imaging452 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Amelanotic Choroidal Nevus451 views60 year old man. Nevus is stable over 6 years. Images are Photo, FAF, OCT, FA, ICG, and B-Scan
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Multiple Uveal Choroidal Nevi450 viewsPatient referred for CHRPE which in this case has unusual appearance. VA is 20/20 in the both eyes. Distinguishing if there was any relation to polyposis. This is not CHRPE.
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Choroidal Melanoma (Medium) Exudative Retinal Detachment 449 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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Melanocytoma - Lightly Pigmented449 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU
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Melanosis Oculi and Choroidal Melanoma448 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.
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Amelanotic Choroidal Nevus - Multimodal Imaging448 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Choroidal Melanoma (Medium) Exudative Retinal Detachment 446 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 Nevus446 viewsPt comes in for 6-month follow up on a Choroidal Nevus in the left eye. Patient's VA was 20/60 in the left eye. There has been a slight enlargement in the past 6-months. Patient has a history of bladder cancer.
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Multiple Uveal Choroidal Nevi446 viewsPatient referred for CHRPE which in this case has unusual appearance. VA is 20/20 in the both eyes. Distinguishing if there was any relation to polyposis. This is not CHRPE.
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Atypical High Risk Choroidal Nevus vs Macular Melanoma446 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.
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Amelanotic Choroidal Nevus - Multimodal Imaging445 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Melanocytoma - Lightly Pigmented444 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU
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Amelanotic Choroidal Nevus - Multimodal Imaging444 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Amelanotic Choroidal Nevus - Multimodal Imaging443 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Recurrence of Melanoma after Transpupillary Thermotherapy442 views3 previous episodes of TTT. This recurrence occurred 1 year later
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Choroidal Melanoma442 viewsYoung male patient notice a visual field defect in the right eye. Patient's VA was 20/60 with no improvement with pinhole. No history of cancer. Patient will be followed up in one week to discuss surgery.
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Amelanotic Choroidal Nevus - Multimodal Imaging441 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Amelanotic Choroidal Nevus441 views60 year old man. Nevus is stable over 6 years. Images are Photo, FAF, OCT, FA, ICG, and B-Scan
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Choroidal Melanoma (Medium) Exudative Retinal Detachment 440 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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Melanocytoma - Lightly Pigmented440 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU
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Atypical High Risk Choroidal Nevus vs Macular Melanoma440 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.
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Amelanotic Choroidal Nevus437 views60 year old man. Nevus is stable over 6 years. Images are Photo, FAF, OCT, FA, ICG, and B-Scan
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Amelanotic Choroidal Nevus - Multimodal Imaging436 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Atypical High Risk Choroidal Nevus vs Macular Melanoma435 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.
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Melanosis Oculi and Choroidal Melanoma434 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.
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Melanocytoma - Lightly Pigmented433 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU
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Melanosis Oculi and Choroidal Melanoma432 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.
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Choroidal Nevus with Drusen432 views82 year old female with flat nevus for 3 years.
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Amelanotic Choroidal Nevus - Multimodal Imaging432 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Choroidal Melanoma (Medium) Exudative Retinal Detachment 431 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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Melanocytoma - Lightly Pigmented431 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU
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Melanosis Oculi and Choroidal Melanoma429 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.
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Melanosis Oculi and Choroidal Melanoma428 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.
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Melanocytoma - Lightly Pigmented426 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU
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Amelanotic Choroidal Nevus - Multimodal Imaging424 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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Melanocytoma - Lightly Pigmented423 views42 year old female with very mild visual field and vision loss in the left eye: 20/20 OU
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Amelanotic Choroidal Nevus - Multimodal Imaging423 views61 year old man with amelanotic choroidal nevus. Vision Normal - Stable over 4 years.
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