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JAMA Ophthalmology Clinical Challenge
July 2016

Intraocular Tumor Associated With Visual Loss in a Young Woman

Author Affiliations
  • 1Illinois Eye and Ear Infirmary, University of Illinois at Chicago
  • 2Midwestern University Eye Institute, Downers Grove, Illinois
JAMA Ophthalmol. 2016;134(7):833-834. doi:10.1001/jamaophthalmol.2015.5341

A healthy woman in her 20s presented with painless loss of vision in her right eye for 2 weeks. Her visual acuity was 20/200 OD and 20/20 OS. The right eye was temporally hyperemic and mildly tender to touch. Fundus examination revealed an elevated whitish lesion in the superotemporal quadrant of the right eye, associated with subretinal fluid at the fovea (Figure 1). A- and B-scan ultrasonography demonstrated a choroidal mass with moderate internal reflectivity.