UNIVERSITY OPHTHALMOLOGY CONSULTANTS

 

CASE OF THE MONTH

CASE #2

 

SUBRETINAL HEMORRHAGE   CHOROIDAL MELANOMA
Image of subretinal hemorrhage and choroidal melanoma
DIFFERENTIAL DIAGNOSIS

This case illustrates subretinal hemorrhage mimicking choroidal melanoma.
The key is to see drusen in the fellow eye, choroidal neovascular membrane (CNV) in the study eye, a fluorescein angiogram that is typical of CNV in age-related macular degeneration (AMD), and an ultrasound that is typical of subretinal hemorrhage.
       
Drusen in the fellow eye (OD)
CNV in the study eye (OS)
Fluorescein angiogram (OS)
  
Drusen in the fellow eye
CNV in study eye
Fluorescein angiogram reveals subretinal hemorrhage OS
 The blockage of underlying choroidal fluorescence on the fluorescein angiogram is due to subretinal blood.
 
Echogram (OS)
 
  Echogram reveals retinal elevation and subretinal opacities OS    
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Dr. Zarbin's e-mail address Please send comments to: Dr. Marco Zarbin at zarbin@umdnj.edu
Suggested Reading:
Hochman MA, Seery CM, and Zarbin MA. Pathophysiology and management of subretinal hemorrhage. Surv Ophthalmol 1997; 42(3):195-213.

 

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echogram fellow eye drusen

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