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JAMA Ophthalmology Clinical Challenge
May 16, 2019

Adolescent Boy With Choroidal Mass

Author Affiliations
  • 1Harkness Eye Institute, Columbia University Irving Medical Center, New York, New York
JAMA Ophthalmol. 2019;137(7):846-847. doi:10.1001/jamaophthalmol.2019.1177

A boy aged 13 years was referred for choroidal mass of the right eye. Visual acutiy was 20/60 OD and 20/20 OS. Intraocular pressures and anterior segment examination findings were normal. Fundus examination revealed orange, subretinal mass with associated subretinal fluid in the posterior pole. The lesion was followed closely and throughout a series of visits, the lesion and fluid continued to progress, the visual acuity worsened to 20/200, and the tumor mass extended closer to the fovea (Figure 1). The mass measured 15 mm in basal diameter with a thickness of 6.4 mm on B-scan ultrasonography.