PMC4332978_01
Appearance of the nasal choroidal melanoma (a) and B-scan ultrasonography with some vascularity and low reflectivity but no extrascleral extension (b).
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OD and 20/20 OS. On dilated exam, he was found to have a medium sized nasal choroidal melanoma and large inferior serous retinal detachment in his right eye (Figure 1(a)). B-scan ultrasonography demonstrated a dome shaped choroidal lesion with low internal reflectivity (Figure 1(b)).
Optical coherence tomography scans of the fovea before (a) and one week after treatment showing reduced volume of shaggy photoreceptors (b). At six weeks, there is recurrent subretinal fluid with presence of shaggy photoreceptors (c) which again resolved four months later (d).
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EDI-OCT of the macula confirmed the presence of an isolated pocket of subfoveal fluid (Spectralis OCT (Heidelberg Engineering GmbH, Heidelberg, Germany); Figure 2(a)). EDI-OCT of the macula showed persistent subfoveal fluid, resolution of subretinal lipofuscin precipitates, and dramatic volume reduction in shaggy photoreceptors (Figure 2(b)). EDI-OCT showed a stable volume of subretinal fluid with potential recurrence of the shaggy photoreceptors in the outer retina (Figure 2(c)). EDI-OCT demonstrated resolution of subretinal fluid and compressed shaggy photoreceptors (Figure 2(d)).