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JAMA Ophthalmology Clinical Challenge
May 2015

New Pigmented Lesion Over a Site of Tumor Treatment

Author Affiliations
  • 1Illinois Eye and Ear Infirmary, Department of Ophthalmology and Visual Sciences, University of Illinois College of Medicine, Chicago
JAMA Ophthalmol. 2015;133(5):601-602. doi:10.1001/jamaophthalmol.2014.6122

A woman in her 70s was referred for treatment of a choroidal melanoma of the left eye approximately 4 years ago. At presentation, she reported occasional photopsias, floaters, and blurred vision but no pain. Visual acuity was 20/25−2 OD and 20/40 OS. Her choroidal melanoma was located at the 11- to 1-o’clock position, anterior to the equator but posterior to the ciliary body. Low internal reflectivity and a mass measuring 8.4 mm in height by 12.9 mm across the base (Figure, A and B) were revealed on B-scan ultrasonography. A complete blood cell count and results of liver function tests were within reference limits; a computed tomographic scan of the abdomen, chest, brain, and orbits showed no evidence of metastasis.

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