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Is it relatively common for these pts to present with icterus s/p enucleation?
Metastatic Choroidal melanoma
- Thread starter SoCal
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No, this is not common.
You should check a chest X-Ray and liver enzymes because these are the lungs and liver are the most common sites of spread. If there is liver damage, then the patient may present with icterus.
You should check a chest X-Ray and liver enzymes because these are the lungs and liver are the most common sites of spread. If there is liver damage, then the patient may present with icterus.
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A 41 year old male presented for his first ever eye examination. He reports a 10-year history of DM2 and is presently on 4 oral medications and insulin.
His fundus examination held most of my interest with significant retinal thickening in at least four places (each about 1 disc diamter in size) in each eye and all within the principal vascular arcades. In addition, there was rather large greyish elevated mass about 3-4DD in size with orange flecks on top, blurry borders and deviation of blood vessels. A 24-2 Fast SITA did demonstrate a relative scotoma that correlates to this mass. No vitreous cells above this mass.
Let's suppose this was choroidal melanoma and let us suppose that there was proliferative diabetic retinopathy which may require PRP in the same eye. The questions I have are:
1. Would there be any conflict between the PRP and melanoma?
2 Would the melanoma obviate the PRP?
3. If there was retinal thickening of significant size near this mass would focal laser aggravate this mass?
Thanks,
Richard Hom, OD
San Mateo, CA
His fundus examination held most of my interest with significant retinal thickening in at least four places (each about 1 disc diamter in size) in each eye and all within the principal vascular arcades. In addition, there was rather large greyish elevated mass about 3-4DD in size with orange flecks on top, blurry borders and deviation of blood vessels. A 24-2 Fast SITA did demonstrate a relative scotoma that correlates to this mass. No vitreous cells above this mass.
Let's suppose this was choroidal melanoma and let us suppose that there was proliferative diabetic retinopathy which may require PRP in the same eye. The questions I have are:
1. Would there be any conflict between the PRP and melanoma?
2 Would the melanoma obviate the PRP?
3. If there was retinal thickening of significant size near this mass would focal laser aggravate this mass?
Thanks,
Richard Hom, OD
San Mateo, CA
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