Large, Dome-Shaped Peripheral Choroidal Melanoma - Widefield Color

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    Image of the week
    Jul 19, 2020
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    Large Dome Shaped Peripheral Choroidal Melanoma
    Description
    Large, dome-shaped peripheral choroidal melanoma of the left eye with inferior exudative retinal detachment. Note the lack of obvious orange pigment over the tumor and apparent drusen anteriorly. A lack of ophthalmoscopically obvious lipofuscin is not uncommon among larger choroidal melanomas. B-Scan ultrasonography (transverse, 10 o’clock) confirms a low-moderate internally reflective dome-shaped choroidal lesion with a small adjacent retinal detachment. Ultrasound biomicroscopy (radial, 10 o’clock) confirms no ciliary body involvement of the tumor.