Michael Seider, MD » Large irregularly shaped choroidal melanoma

Feb 13 2020 by Michael Seider, MD

Large, irregularly shaped choroidal melanoma with overlying subretinal fluid and inferior exudative retinal detachment in the right eye of a 93-year-old woman. Note the extensive overlying orange pigment (lipofuscin) which is hyper-autofluorescent. B-Scan ultrasonography confirms low tumor internal reflectivity, adjacent retinal detachment and multi-lobulated shape. Especially because of the poor baseline vision and the severe vision loss expected from radiotherapy (because of the larger tumor size and proximity to the optic nerve), this older woman elected primary enucleation.

Feb 13 2020 by Michael Seider, MD

Large, irregularly shaped choroidal melanoma with overlying subretinal fluid and inferior exudative retinal detachment in the right eye of a 93-year-old woman. Note the extensive overlying orange pigment (lipofuscin) which is hyper-autofluorescent. B-Scan ultrasonography confirms low tumor internal reflectivity, adjacent retinal detachment and multi-lobulated shape. Especially because of the poor baseline vision and the severe vision loss expected from radiotherapy (because of the larger tumor size and proximity to the optic nerve), this older woman elected primary enucleation.

Feb 13 2020 by Michael Seider, MD

Large, irregularly shaped choroidal melanoma with overlying subretinal fluid and inferior exudative retinal detachment in the right eye of a 93-year-old woman. Note the extensive overlying orange pigment (lipofuscin) which is hyper-autofluorescent. B-Scan ultrasonography confirms low tumor internal reflectivity, adjacent retinal detachment and multi-lobulated shape. Especially because of the poor baseline vision and the severe vision loss expected from radiotherapy (because of the larger tumor size and proximity to the optic nerve), this older woman elected primary enucleation.

Feb 13 2020 by Michael Seider, MD

Large, irregularly shaped choroidal melanoma with overlying subretinal fluid and inferior exudative retinal detachment in the right eye of a 93-year-old woman. Note the extensive overlying orange pigment (lipofuscin) which is hyper-autofluorescent. B-Scan ultrasonography confirms low tumor internal reflectivity, adjacent retinal detachment and multi-lobulated shape. Especially because of the poor baseline vision and the severe vision loss expected from radiotherapy (because of the larger tumor size and proximity to the optic nerve), this older woman elected primary enucleation.