Extra-scleral Extension of Choroidal Melanoma

• By Jessica Norkus
  Retina Specialists of Michigan
• Uploaded on Dec 23, 2021.
• Last modified by Jennifer Carstens on Jan 11, 2022.

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Appears in

Extrascleral Extension of Choroidal Melanoma

Condition/keywords

extrascleral extension, metastatic lesion, metastatic cancer, external photography

Photographer

Jessica Norkus, COA, OSC

Imaging device

Fundus camera
Topcon TRC 50DX

Description

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.

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