Shaggy Photoreceptors with Subfoveal Fluid Associated with a Distant Choroidal Melanoma

Purpose. To describe the enhanced depth imaging optical coherence tomography (EDI-OCT) findings in a patient with an extra macula choroidal melanoma before and after treatment. Methods. Observational case report. Results. A 45 year-old Caucasian male patient was referred to retina clinic for managem...

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Main Authors: Ann Q. Tran, James A. Eadie, Michael M. Altaweel
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2015/187542
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author Ann Q. Tran
James A. Eadie
Michael M. Altaweel
author_facet Ann Q. Tran
James A. Eadie
Michael M. Altaweel
author_sort Ann Q. Tran
collection DOAJ
description Purpose. To describe the enhanced depth imaging optical coherence tomography (EDI-OCT) findings in a patient with an extra macula choroidal melanoma before and after treatment. Methods. Observational case report. Results. A 45 year-old Caucasian male patient was referred to retina clinic for management of choroidal melanoma. Examination revealed a nasal choroidal melanoma while EDI-OCT illustrated subfoveal fluid pocket with elongated shaggy photoreceptors distant and separate from the tumor. The patient was treated with plaque brachytherapy and intravitreal bevacizumab. One week after plaque removal, there was a dramatic reduction in the shaggy photoreceptors. Conclusion. Choroidal melanomas have effects that are not localized to the area of the tumor. This loculated pocket of subretinal fluid and coinciding changes to photoreceptor morphology may be related to global changes in choroidal function or release of tumor related cytokines.
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spelling doaj-art-03e7aad680d345ed972d9e9b908b5d422025-02-03T05:46:28ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302015-01-01201510.1155/2015/187542187542Shaggy Photoreceptors with Subfoveal Fluid Associated with a Distant Choroidal MelanomaAnn Q. Tran0James A. Eadie1Michael M. Altaweel2Department of Ophthalmology and Visual Sciences, University of Wisconsin-Madison, Madison, WI 53705, USARetina Vitreous Consultants, Pittsburgh, PA 15213, USADepartment of Ophthalmology and Visual Sciences, University of Wisconsin-Madison, Madison, WI 53705, USAPurpose. To describe the enhanced depth imaging optical coherence tomography (EDI-OCT) findings in a patient with an extra macula choroidal melanoma before and after treatment. Methods. Observational case report. Results. A 45 year-old Caucasian male patient was referred to retina clinic for management of choroidal melanoma. Examination revealed a nasal choroidal melanoma while EDI-OCT illustrated subfoveal fluid pocket with elongated shaggy photoreceptors distant and separate from the tumor. The patient was treated with plaque brachytherapy and intravitreal bevacizumab. One week after plaque removal, there was a dramatic reduction in the shaggy photoreceptors. Conclusion. Choroidal melanomas have effects that are not localized to the area of the tumor. This loculated pocket of subretinal fluid and coinciding changes to photoreceptor morphology may be related to global changes in choroidal function or release of tumor related cytokines.http://dx.doi.org/10.1155/2015/187542
spellingShingle Ann Q. Tran
James A. Eadie
Michael M. Altaweel
Shaggy Photoreceptors with Subfoveal Fluid Associated with a Distant Choroidal Melanoma
Case Reports in Ophthalmological Medicine
title Shaggy Photoreceptors with Subfoveal Fluid Associated with a Distant Choroidal Melanoma
title_full Shaggy Photoreceptors with Subfoveal Fluid Associated with a Distant Choroidal Melanoma
title_fullStr Shaggy Photoreceptors with Subfoveal Fluid Associated with a Distant Choroidal Melanoma
title_full_unstemmed Shaggy Photoreceptors with Subfoveal Fluid Associated with a Distant Choroidal Melanoma
title_short Shaggy Photoreceptors with Subfoveal Fluid Associated with a Distant Choroidal Melanoma
title_sort shaggy photoreceptors with subfoveal fluid associated with a distant choroidal melanoma
url http://dx.doi.org/10.1155/2015/187542
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