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Case Reports
. 2016 Oct-Dec;60(4):264-269.

Choroidal melanoma suspect. Conservative treatment and evolution. Case report

Mihail Zemba  1   2 , Radu Alexandru Malciolu  1
Affiliations
Case Reports

Choroidal melanoma suspect. Conservative treatment and evolution. Case report

Mihail Zemba et al. Rom J Ophthalmol. 2016 Oct-Dec.

Abstract

We present the case of a 42-year-old female who presented to our clinic for phosphenes in the left eye, occurring along with eye movement. A diagnosis of choroidal melanoma suspect was made. Due to the patient's profile, young, active woman, surgeon, and the limited therapeutic options in Romania, a conservative treatment and brachytherapy were chosen, which were successfully performed abroad. The patient has been followed-up, so far, for five years after the procedure, with spectacular results.

Keywords: brachytherapy; choroidal melanoma; radiation retinopathy; radiation therapy.

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Figures

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LE fundus aspect
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The elevated lesion on B scan
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Normal architecture retina, elevated from beneath
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Diffuse leakage
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Nasal ghost vessels
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Functional impact
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Radiation retinopathy, perilesional retinal atrophy
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Resolution of radiation retinopathy
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Clinical aspect
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OCT – retinal atrophy
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OCT – normal architecture macula
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B scan aspect
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