Michael Seider, MD » Very large choroidal melanoma in monocular patient

Feb 13 2020 by Michael Seider, MD

Very large choroidal melanoma in the left eye of a 51-year-old man with long-standing poor vision in the right eye from a childhood injury (with traumatic macular hole and chorioretinal scarring). Note the large superior choroidal tumor with overlying subretinal hemorrhage and extensive inferior exudative retinal detachment. B-Scan ultrasound shows the collar-stud shape of the lesion and the overlying subretinal hemorrhage which is hyper-reflective compared to the vitreous and slightly hypo-reflective compared to the tumor. The patient has optic disk drusen in both eyes. He elected enucleation.

Feb 13 2020 by Michael Seider, MD

Very large choroidal melanoma in the left eye of a 51-year-old man with long-standing poor vision in the right eye from a childhood injury (with traumatic macular hole and chorioretinal scarring). Note the large superior choroidal tumor with overlying subretinal hemorrhage and extensive inferior exudative retinal detachment. B-Scan ultrasound shows the collar-stud shape of the lesion and the overlying subretinal hemorrhage which is hyper-reflective compared to the vitreous and slightly hypo-reflective compared to the tumor. The patient has optic disk drusen in both eyes. He elected enucleation.

Feb 13 2020 by Michael Seider, MD

Very large choroidal melanoma in the left eye of a 51-year-old man with long-standing poor vision in the right eye from a childhood injury (with traumatic macular hole and chorioretinal scarring). Note the large superior choroidal tumor with overlying subretinal hemorrhage and extensive inferior exudative retinal detachment. B-Scan ultrasound shows the collar-stud shape of the lesion and the overlying subretinal hemorrhage which is hyper-reflective compared to the vitreous and slightly hypo-reflective compared to the tumor. The patient has optic disk drusen in both eyes. He elected enucleation.