Академический Документы
Профессиональный Документы
Культура Документы
Melanotic (Pigmented)
Non Tumour:
Subretinal blood
hgic CD
Tumour:
Nevus
CHRPE
Melanoma
Melanocytoma
Amelanotic mass
Non tumour
Inflammatory granuloma
Subretinal scar
Tumour:
Haemangioma
Osteoma
Amelanotc melanoma
secondaries
diameter height
neavus 1-5 0-1
Small 5-10 1-3
meduim 10-16 4-8
large >16 >8
Diagnosis:
Usually examination and B scan ultrasound are enough
If there is suspicion that lesion may be subretinal blood
FFA/ Doppler/MRI
To detect possible extensions:
0 B scan ultrasound is usually enough
MRI
Secondaries:
Liver enzymes and abdominal ultrasound
CXR (lung mets are uncommon)
Ocular lymphoma:
Orbit: proptosis- +/- bilateral// lacrimal gland elargement
Lids: infiltration rubbery masses
Conjunctiva: salmon pink subconjunctival infiltration
Anterior segment: hypopyon/hyphema/iris metastases
Posterior segment: resistant uveitis/vitritis/ subretinal infiltration
Optic nerve: carcimomatous optic neuropathy
Neuro-opthalmic: papilledema/6th n palsy/Horner $/hemiplegia
Multiple myeloma:
Orbit: myeloma lesions
Lids: infiltration
Conjunctiva: hge/ tortous vs due to hyperviscosity
Anterior segment: crystalline keratopathy
Posterior segment: dilated etinal vs/hge/exudate/cotton wool spots
Neuro-opthalmic: multiple lytic lesions
Paraneoplastic syndromes:
Eaton lambert $: Oat cell lung cancer
Opsoclonus: meduuloblastoma/lung cancer
Bilateral diffuse uveal mealoncytic proliferation (BDUMP): GIT/ovarian cancer
Retinopathy:
o Carcinoma associated retinopathy (CAR): lung cancer/cervical cancer
o Melanoma associated retinopathy (MAR): cutaneous melanoma