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Most viewed - Choroidal Melanoma and Choroidal Nevus

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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female4027 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 female2032 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 1981 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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Multiple - Congenital Hypertrophy of the Pigment Epithelium - CHRPE - Gardner Syndrome1903 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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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female1649 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 1641 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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Macular Choroidal Nevus1628 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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Choroidal Nevus with Overlying Drusen1616 views48-year-old woman Vision OD is 20/16, OS is 20/20.
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CHRPE - Gardner Syndrome - FAMILIAL COLORECTAL POLYPOSIS - 11 year old female1605 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 Tracks1584 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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Choroidal Nevus with Overlying Drusen1504 views48-year-old woman Vision OD is 20/16, OS is 20/20.
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Melanoma1498 views40 Year old male
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Choroidal Melanoma1482 views
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Melanoma1457 viewsYoung male with large Melanoma
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Amelanotic Nevus Initial Visit1418 views
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit B Scan1373 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 Melanoma1368 views
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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man B Scan - Transverse1288 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 Retinal Detachment1251 views57 year old female who underwent proton beam therapy for Choroidal Melanoma. VA was 20/400 at post op visit.
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Chorodial Melanoma1230 views80 year old male came in for retinal evaluation and presented with a melanoma.
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Multiple - Congenital Hypertrophy of the Pigment Epithelium - CHRPE - Gardner Syndrome1229 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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Peripapillary Choroidal Nevus1225 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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Multiple - Congenital Hypertrophy of the Pigment Epithelium - CHRPE - Gardner Syndrome1216 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 Yet1197 views
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Radioactive Plaque Placement for Choroidal Melanoma Iodine Radioactive Seeds in Plaque1170 views
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Choroidal Melanoma with Radiation Retinopathy1156 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 Melanoma - Exudative Retinal Detachment 82 Year Old Man B Scan Ultrasound Longitudinal1151 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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Radioactive Plaque Placement for Choroidal Melanoma Eye is Anesthetized Prior to Surgery1112 views
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Choroidal Nevus with Drusen1088 viewsLow risk choroidal nevus with many overlying drusen
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CHOROIDAL Melanoma1087 views
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Amelanotic Choroidal Nevus 1060 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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Melanoma - Large Ciliary Body Photo shows tumor visible through the pupil1053 views
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Radioactive Plaque Placement for Choroidal Melanoma Radioactive Plaque Placement for Choroidal Melanoma 1050 views
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Sutured to Globe1042 views
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Radioactive Plaque Placement for Choroidal Melanoma Eye After Surgery with Conjunctiva Closed1032 views
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Peripapillary Choroidal Nevus1030 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 Tumor consistent with Uveal Melanoma1029 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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Choroidal Melanoma1024 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 Fluid1024 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 Plaque Placed but not Sutured to Eye Ye1017 views
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Peripapillary Choroidal Nevus1017 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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Melanoma of Optic Nerve1013 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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Choroidal Melanoma with Retinal Detachment993 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 Plaque Placed but not Sutured to Eye Ye992 views
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Choroidal Nevus with Overlying Drusen989 views48-year-old woman Vision OD is 20/16, OS is 20/20.
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Choroidal Nevus989 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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Amelanotic Choroidal Nevus 968 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 968 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 and 4 Month Follow-Up - Color Photo964 viewsPigmented lesion is visible in the superior half of the macular on the follow-up visit.
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Choroidal Melanoma962 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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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma Arrow Points to Tumor Shadow948 views
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Radioactive Plaque Placement for Choroidal Melanoma Plaque Sutured to Globe943 views
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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma 930 views
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Radioactive Plaque Placement for Choroidal Melanoma Gold Plaque about the size of a Quarter920 views
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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma 914 views
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Large Choroidal Melanoma with Retinal Detachment911 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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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma 907 views
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Amelanotic Nevus - 1 year Follow-up Visit - No Change902 views
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Melanoma - Large Ciliary Body B-Scan ultrasound shows tumore filling much of the eye893 views
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Multiple - Congenital Hypertrophy of the Pigment Epithelium - CHRPE - Gardner Syndrome886 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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Treated Choroidal Melanoma886 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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Peripapillary Choroidal Nevus885 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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Uveal Choroidal Melanoma885 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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Radioactive Plaque Placement for Choroidal Melanoma Lead Patch after Surgery883 views
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Melanoma - Large Ciliary Body Photo shows tumor visible throught the pupil882 views
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6mm x 11mm Melanoma870 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 Melanoma - Exudative Retinal Detachment 82 Year Old Man B Scan Ultrasound Transverce859 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 Drusen859 viewsLow risk choroidal nevus with many overlying drusen
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Choroidal Nevus in Macula 857 views
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Treated Melanoma855 viewsTreated melanoma in the right eye. VA is light perception in the right eye.
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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - Initial Visit B Scan846 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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Radioactive Plaque Placement for Choroidal Melanoma Transillumination of Globe to Localize Melanoma Arrow Points to Tumor Shadow841 views
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Choroidal Melanoma (Medium) Exudative Retinal Detachment 834 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 Melanoma833 viewsPost op Radioactive Implant with hard exudates surrounding the Melanoma with hemorrhage present.
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Choroidal Melanoma - Exudative Retinal Detachment 82 Year Old Man B Scan Ultrasound Longitudinal824 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 in Macula 822 views
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Ciliary Body Melanoma821 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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Metastasis Choroidal Melanoma 773 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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Melanoma - Large Ciliary Body A scan shows medium to low internal reflectivity767 views
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765 views
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Melanosis Oculi and Choroidal Melanoma761 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 Drusen742 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 Images741 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 Malignant Melanoma - early phase FA741 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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Choroidal Nevus with Drusen725 viewsLow risk choroidal nevus with many overlying drusen
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Choroidal Melanoma715 viewsNotice the orange strands presently on the tumor.
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Choroidal Melanoma Medium714 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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Radiation Retinopathy and Macular Pucker 4 years following Brachytherapy (Plaque) for Nasal Melanoma699 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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Choroidal Melanoma (Medium) Exudative Retinal Detachment 699 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 - Exudative Retinal Detachment 82 Year Old Man 695 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 693 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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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images692 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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Ciliary Body Melanoma678 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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Pigmented Choroidal Mass Right Eye - Melanoma vs. Nevus vs. Unilateral Melanocytic Proliferation - 4 Month Follow-Up Images677 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 - Initial Visit675 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 Medium673 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 Images670 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 Melanoma669 viewsChoroidal Melanoma with Retinal Detachment present inferior.
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Choroidal Melanoma668 views
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Choroidal Melanoma666 views
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