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JAMA Ophthalmology Clinical Challenge
January 2016

Asymptomatic Intraocular Mass

Author Affiliations
  • 1Illinois Eye and Ear Infirmary, Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago
JAMA Ophthalmol. 2016;134(1):105-106. doi:10.1001/jamaophthalmol.2015.2522

An otherwise apparently healthy Hispanic man in his 40s and of Mexican origin was referred for evaluation of an asymptomatic posterior segment tumor in his left eye. The patient’s corrected visual acuity was 20/20 OU. His pupils, intraocular pressures, motilities, and confrontational visual fields were normal in each eye. Findings from the anterior slitlamp examination were normal in both eyes. A dilated fundus examination of the right eye was unremarkable, but examination of the fundus of the left eye revealed a lesion in the temporal periphery. Figure 1 shows a wide-field photograph and the results of ultrasonography of the lesion.

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