Large, Irregularly Shaped Choroidal Melanoma - Widefield Color

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File number: 50734

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    Large irregularly shaped choroidal melanoma
    Description
    Large, irregularly shaped choroidal melanoma with overlying subretinal fluid and inferior exudative retinal detachment in the right eye of a 93-year-old woman. Note the extensive overlying orange pigment (lipofuscin) which is hyper-autofluorescent. B-Scan ultrasonography confirms low tumor internal reflectivity, adjacent retinal detachment and multi-lobulated shape. Especially because of the poor baseline vision and the severe vision loss expected from radiotherapy (because of the larger tumor size and proximity to the optic nerve), this older woman elected primary enucleation.