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JAMA Ophthalmology Clinical Challenge
March 25, 2021

An Echodense Choroidal Lesion in an Elderly Woman

Author Affiliations
  • 1Ocular Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania
JAMA Ophthalmol. Published online March 25, 2021. doi:10.1001/jamaophthalmol.2020.4642

An 89-year-old asymptomatic woman presented to a new eye care professional for a routine examination. Examination findings showed a large choroidal mass in the left eye suspicious for a malignant neoplasm. The patient’s ocular history showed a cataract surgical procedure, YAG capsulotomy, and subsequent repair of retinal detachment with scleral buckle and pneumatic retinopexy in the left eye approximately 30 years earlier. Ophthalmoscopic examination results of the left eye revealed a peripheral retinal atrophy from previous cryotherapy treatment. A large choroidal mass was observed in the inferotemporal region. The patient was referred for further evaluation of the mass, which was suspected to represent choroidal melanoma.

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