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Retinal Vascular Occlusion With Overlying Vitreous Hemorrhage Masquerading as a Tumor
Arch Ophthalmol. 2005;123:272-274.
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Uveal melanoma is the most common primary intraocular malignancy in adults. A collar button–shaped lesion is most often a melanoma, particularly when it has low internal reflectivity and moderate vascularity on ultrasonography. We describe a patient who had a choroidal mass with these features, which was identified as a fibrous membrane and blood clot with a branch retinal vein occlusion.
Report of a Case
A 73-year-old white man with a history of branch arterial occlusion in the right eye, branch vein occlusions in both eyes, sectoral laser photocoagulation in the right eye, and cataract extractions in both eyes was evaluated for a mass in his right eye. He also had polycythemia vera, hypertension, peripheral vascular disease, myocardial infarction, cerebrovascular event, and atrial fibrillation, which were being treated with warfarin sodium.
Initially, his visual acuity was 20/400 OD and 20/60 OS. His funduscopic examination revealed a vitreous hemorrhage in the right eye and an old . . . [Full Text of this Article]
Comment
AUTHOR INFORMATION
Rajendra S. Apte, MD, PhD;
Andrew P. Schachat, MD;
Cathy DiBernardo, RN, RDMS, ROUB;
James T. Handa, MD
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