New Collar Button Melanoma

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File number: 133995


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    • By Virginia Gebhart
      Retina Consultants of Carolina
      Co-author(s): Chris Bergstrom, MD, OD
    • Uploaded on Jan 7, 2026.
    • Last modified by Joshua Friedman on Jan 8, 2026.
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    Appears in
    Miscellaneous
    Condition/keywords
    melanoma, choroidal melanoma, collar button, hemorrhage, Oculodermal Melanocytosis
    Photographer
    Virginia Gebhart, Retina Consultants of Carolina
    Imaging device
    Fundus camera
    Optos California
    Description
    67 year old female referred for possible choroidal melanoma. Clinical exam, photos and ultrasound findings consistent with melanoma. Large pigmented tumor with collar button configuration, subretinal fluid inferior and vitreous hemorrhage. Left eye has scleral pigmentation 360 degrees, pt states she has had "brown spots" on her eye since childhood. Iris and fundus are also noticeably darker in the left eye consistent with oculodermal melanocytosis. Pt states she has had regular eye exams and has never been diagnosed. Pt will be scheduled for plaque brachytherapy pending CT scan results.

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