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- Oct 1, 2002
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CC:. 78 y.o. man with c/o of enlarging LLL lesion.
HPI:. 78 y.o. man complained of a painless, red lesion noticed on the left lower lid (LLL) about 4-6 months. He was not sure if the lesion has grown in size, but wanted an evaluation because the lesion has not resolved.
PMH: HTN, mild CAD, and mild cataracts.
Exam:
Best corrected visual acuities: 20/25 OU.
Pupils: equal, no RAPD.
EOM: full OU
VF: normal
DFE: retina exam notable for normal macula, vessels, and periphery OU.
SLE: notable for the lesion shown below. Mild cataracts OU.
Photo of the LLL lesion
SLE Photo of the LLL lesion (higher magnification)
SLE Photo of the LLL lesion, lid margin & palpebral conjunctivae
Feel free to discuss the following:
What tests should you order (I'll post labs when asked for them)?
What's the differential diagnosis?
What's the diagnosis?
What is the treatment of choice, surgically and/or medically?
Diagnosis is posted on the Iowa site.
http://webeye.ophth.uiowa.edu/eyeforum/case7.htm
HPI:. 78 y.o. man complained of a painless, red lesion noticed on the left lower lid (LLL) about 4-6 months. He was not sure if the lesion has grown in size, but wanted an evaluation because the lesion has not resolved.
PMH: HTN, mild CAD, and mild cataracts.
Exam:
Best corrected visual acuities: 20/25 OU.
Pupils: equal, no RAPD.
EOM: full OU
VF: normal
DFE: retina exam notable for normal macula, vessels, and periphery OU.
SLE: notable for the lesion shown below. Mild cataracts OU.
Photo of the LLL lesion
SLE Photo of the LLL lesion (higher magnification)
SLE Photo of the LLL lesion, lid margin & palpebral conjunctivae
Feel free to discuss the following:
What tests should you order (I'll post labs when asked for them)?
What's the differential diagnosis?
What's the diagnosis?
What is the treatment of choice, surgically and/or medically?
Diagnosis is posted on the Iowa site.
http://webeye.ophth.uiowa.edu/eyeforum/case7.htm