Choroidal melanoma masquerading as multifocal central serous chorioretinopathy

A 56 year-old-male presented with diminution of vision in right eye of 2 months duration. His best corrected visual acuity (BCVA) was 20/25. Anterior segment examination was bilaterally normal. Right fundus revealed oval, raised, pigmented lesion in superotemporal quadrant with subfoveal fluid. Fund...

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Bibliographic Details
Main Authors: Pukhraj Rishi, Ramya Appanraj, Tarun Sharma
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Oman Journal of Ophthalmology
Subjects:
eye
Online Access:http://www.ojoonline.org/article.asp?issn=0974-620X;year=2016;volume=9;issue=3;spage=187;epage=188;aulast=Rishi
Description
Summary:A 56 year-old-male presented with diminution of vision in right eye of 2 months duration. His best corrected visual acuity (BCVA) was 20/25. Anterior segment examination was bilaterally normal. Right fundus revealed oval, raised, pigmented lesion in superotemporal quadrant with subfoveal fluid. Fundus fluroscein angiography (FFA) showed multiple pinpoint leakages. Acoustic hollowing on ultrasound (USG) was typical of choroidal melanoma. A high index of suspicion is required for the diagnosis of small choroidal melanoma that could present with multiple focal leaks and subretinal fluid simulating multifocal central serous retinopathy (CSR).
ISSN:0974-620X