Case #5: Lighting and a Choroidal Nevus

By Paul T. Finger, MD

History

This series of fundus photographs were taken during her consultation but at different levels of illumination.
This series of fundus photographs were taken during her consultation but at different levels of illumination.

In April of 2001, a 50-year-old female was referred for evaluation of a pigmented tumor in her right eye.

Unlike a choroidal melanoma this choroidal nevus did not have orange pigment, subretinal fluid or thickness greater than 2 mm. There were drusen over the area of pigmentation.

Impression

Choroidal Nevus

Comment

In cases of choroidal nevi, it is important to take a fundus photograph which serves as a baseline for future comparison. In this case the borders were clearly defined and a copy of this photograph was sent to the referring physician (to aid in his continued care). Should he repeat this fundus photograph, it will be important to compare the relative intraocular illumination used during photography. Consider the following series of fundus photographs taken during this patient’s initial visit.

We present this clinical pearl to aid in your continued care of patients with choroidal nevi. Next time you are evaluating a fundus photograph and think there is tumor growth, double check the background illumination to make sure the two pictures were taken at similar settings.

Related Links

Patient Stories

"Very well treated by Dr. Finger. He explained everything I needed to know about my issue with detail and attention, putting me at ease and giving me confidence to handle this problem for the rest of my life.”
N.N.

Read More

REQUEST AN APPOINTMENT

  • This field is for validation purposes and should be left unchanged.

CONNECT AND SHARE