Oman Journal of Ophthalmology

CASE REPORT
Year
: 2016  |  Volume : 9  |  Issue : 3  |  Page : 174--176

Flat choroidal melanoma masquerading as central serous chorioretinopathy


Timothy Patrick Higgins, Chloe T.L Khoo, George Magrath, Carol L Shields 
 Ocular Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA 19107, USA

Correspondence Address:
Carol L Shields
Ocular Oncology Service, Wills Eye Hospital, 840 Walnut Street, Suite 1440, Philadelphia, PA 19107
USA

There are several mimickers of choroidal melanoma. We report a patient with recent family stress who developed blurred vision to 20/50 OD and was found to have unilateral central serous chorioretinopathy and a coincidental choroidal nevus. After 1 year without resolution of the subretinal fluid, the patient was referred for our opinion. On examination, visual acuity was 20/50 in the right eye and 20/20 in the left eye. The left eye was normal. Evaluation of the right eye showed a small, pigmented submacular choroidal lesion measuring 4 mm Χ 3 mm. Ultrasonography documented an isoechoic mass measuring 1.71 mm in thickness. Optical coherence tomography showed subretinal fluid with shaggy photoreceptors and hyper-reflective material within the subretinal fluid, likely indicative of lipofuscin within macrophages. Autofluorescence revealed orange pigment overlying the lesion. These features were strongly suggestive of small choroidal melanoma with five risk factors for tumor growth. Treatment with Iodine-125 plaque brachytherapy was performed on the patient. The readers should keep in mind that choroidal melanoma can manifest as a tiny choroidal mass with related multimodal imaging features of subretinal fluid and orange pigment.


How to cite this article:
Higgins TP, Khoo CT, Magrath G, Shields CL. Flat choroidal melanoma masquerading as central serous chorioretinopathy .Oman J Ophthalmol 2016;9:174-176


How to cite this URL:
Higgins TP, Khoo CT, Magrath G, Shields CL. Flat choroidal melanoma masquerading as central serous chorioretinopathy . Oman J Ophthalmol [serial online] 2016 [cited 2019 Jun 16 ];9:174-176
Available from: http://www.ojoonline.org/article.asp?issn=0974-620X;year=2016;volume=9;issue=3;spage=174;epage=176;aulast=Higgins;type=0