Initializing download.-
By John S. King, MD
Retina Associates, PA - Uploaded on Dec 11, 2018.
- Last modified by John S. King, MD on Jun 11, 2019.
- Rating
- Appears in
- BDUMP
- Condition/keywords
- bilateral diffuse uveal melanocytic proliferation (BDUMP)
- Photographer
- Stacey Coleman
- Imaging device
-
Fundus camera
Topcon - Description
- 67-year-old white female with normal vision four months ago, consulted for dry AMD. She reported that vision in the left eye had worsened over the last two months and had progressively gotten worse. Denied history of cancer, or her primary eye doctor ever mentioning choroidal nevi. Va cc was 20/30 OD and 20/100 OS. No RAPD. IOP 9-10 OU. Anterior segment had some stellate like pigmented dusting of the endothlium, a/c was quiet, 2+NSC OU. Vitreous quiet; multiple, flat, pigmented choroidal lesions varying in size was seen the in fundus. Area in the temporal macula extending up to the superior arcade in the left eye that was suspicious for a mass; it did have a "giraffe like" pattern on one of the early FA pics; the OCT in this area showed thickening of the choroid without a definite mass lesion, and overlying thickening of the RPE, or exudative like scar, with SRF directly above. Consulted with Dr. Matt Wilson, who confirmed diagnosis, and had patient evaluated by oncology, who diagnosed non-small cell lung cancer.
