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. 2019 Jun 21:15:100490.
doi: 10.1016/j.ajoc.2019.100490. eCollection 2019 Sep.

Serous retinal detachment caused by choroidal metastatic SLL: A case report

Affiliations

Serous retinal detachment caused by choroidal metastatic SLL: A case report

Nancy M Wang et al. Am J Ophthalmol Case Rep. .

Abstract

86-year-old man presented with reduced vision in his right eye corresponding to large serous detachment. Enhanced Depth Imaging Optical Coherence Tomography (EDI-OCT) showed diffusely thickened choroid. Concurrent diagnosis of small lymphocytic lymphoma diagnosed from submandibular node incited suspicion of choroidal metastasis. Successful response to chemotherapy clearly documented using EDI-OCT technology.

Keywords: CT, Computerised tomography; Choroidal lymphoma; EDI-OCT; EDI-OCT, Enhanced Depth Imaging Optical Coherence Tomography; Metastases; SLL, Small Lymphocytic Lymphoma; VA, Visual Acuity.

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Figures

Fig. 1
Fig. 1
Fundus image of the right eye with subtle choroidal infiltrative changes superior to the optic disc (A). Fundus Autofluorescence showing speckled fluorescence changes corresponding to area of choroidal thickening (B).
Fig. 2
Fig. 2
Fundus image of left eye showing normal appearances.
Fig. 3
Fig. 3
Comparative EDI-OCT at (a) at presentation (755 μm) (b) one month following systemic chemotherapy (588 μm) (c) four months after completion of chemotherapy (553 μm) d) six months after completion of systemic chemotherapy (492 μm) e) Left eye EDI-OCT at presentation (419 μm).

References

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