Jessica Norkus » Extrascleral Extension of Choroidal Melanoma

Dec 23 2021 by Jessica Norkus

89-year-old female with extra-scleral extension of choroidal metastatic melanoma. Patient hadn't been seen by any eye doctor in 3 years prior to this visit. Noticed sclera darkening about 6 months ago, with vision loss noted for about 4-5 months. Presented with LP vision. Emergent MRI of brain/orbit showed no extension beyond what is seen at slit lamp. CT C/A/P w/ contrast ordered and found 2 hepatic lesions, concerning for potential mets. Patient referred to medical oncology.

Photographer: Jessica Norkus, COA, OSC

Imaging device: Topcon TRC 50DX

Condition/keywords: extrascleral extension, metastatic cancer, metastatic lesion

Dec 23 2021 by Jessica Norkus

89-yea- old female with extra-scleral extension of choroidal metastatic melanoma. Patient hadn't been seen by any eye doctor in 3 years prior to this visit. Noticed sclera darkening about 6 months ago, with vision loss noted for about 4-5 months. Presented with LP vision. Emergent MRI of brain/orbit showed no extension beyond what is seen at slit lamp. CT C/A/P w/ contrast ordered and found 2 hepatic lesions, concerning for potential mets. Patient referred to medical oncology.

Photographer: Jessica Norkus, COA, OSC

Imaging device: Topcon TRC 50DX

Condition/keywords: external photography, extrascleral extension, metastatic cancer, metastatic lesion

Dec 23 2021 by Jessica Norkus

89-year-old female with extra-scleral extension of choroidal metastatic melanoma. Patient hadn't been seen by any eye doctor in 3 years prior to this visit. Noticed scleral darkening about 6 months ago, with vision loss noted for about 4-5 months. Presented with LP vision. Emergent MRI of brain/orbit showed no extension beyond what is seen at slit lamp. CT C/A/P w/ contrast ordered and found 2 hepatic lesions, concerning for potential mets. Patient referred to medical oncology.

Photographer: Jessica Norkus, COA, OSC

Imaging device: Topcon TRC 50DX

Condition/keywords: external photography, extrascleral extension, metastatic cancer, metastatic lesion

Dec 23 2021 by Jessica Norkus

89-year-old female with extra-scleral extension of choroidal metastatic melanoma. Patient hadn't been seen by any eye doctor in 3 years prior to this visit. Noticed scleral darkening about 6 months ago, with vision loss noted for about 4-5 months. Presented with LP vision. Emergent MRI of brain/orbit showed no extension beyond what is seen at slit lamp. CT C/A/P w/ contrast ordered and found 2 hepatic lesions, concerning for potential mets. Patient referred to medical oncology.

Photographer: Jessica Norkus, COA, OSC

Imaging device: Topcon TRC 50DX

Condition/keywords: extrascleral extension, metastatic cancer, metastatic lesion

Dec 23 2021 by Jessica Norkus

89-year-old female with extra-scleral extension of choroidal metastatic melanoma. Patient hadn't been seen by any eye doctor in 3 years prior to this visit. Noticed scleral darkening about 6 months ago, with vision loss noted for about 4-5 months. Presented with LP vision. Emergent MRI of brain/orbit showed no extension beyond what is seen at slit lamp. CT C/A/P w/ contrast ordered and found 2 hepatic lesions, concerning for potential mets. Patient referred to medical oncology.

Photographer: Jessica Norkus, COA, OSC

Imaging device: Topcon TRC 50DX

Condition/keywords: external photography, extrascleral extension, metastatic cancer, metastatic lesion