Table 1.
Case series of untreated choroidal melanomas presented with subretinal exudation
| Age/sex | Eye | PMHx/POHx | Presenting VA | Final VA | Presenting symptoms | Location | SRF/IRF | U/S | OCT | Primary treatment | Histology genetics | Complication treatment | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Case 1 | 39/M | RE | Unremarkable | 6/4 | 6/18 | Shadow in the visual field | SN | + | Medium reflectivity | Intraretinal and subretinal foci | Ruthenium plaque and transretinal biopsy | Spindle cell | Radiation maculopathy |
| No Doppler | Anti-VEGF | ||||||||||||
| 5.5 × 4.5 (3.0) mm | Subretinal exudates | Disomy 3 (MSA) | |||||||||||
| Case 2 | 52/F | RE | Spondylarthritis | 6/7.5 | 6/7.5 | Asymptomatic | SN | + | Low-medium reflectivity | Subretinal exudates | Ruthenium plaque and trans-scleral biopsy | Spindle cell | – |
| Positive Doppler | Disomy 3 | ||||||||||||
| Thyroid Cancer | 11.98 × 10.78 (5.36) mm | (MLPA and MSA) | |||||||||||
| Case 3 | 47/F | LE | Unremarkable | 6/6 | N/A | Asymptomatic | Temporal to the macula | + | Low-medium reflectivity | Subretinal exudates | Ruthenium plaque | N/A | – |
| 7.58 × 7.60 (4.71) mm | |||||||||||||
| Case 4 | 47/M | RE | Unremarkable | 6/6 | 6/9 | Asymptomatic | ST | + | Low reflectivity | Subretinal exudates | Ruthenium plaque | N/A | Radiation maculopathy |
| Anti-VEGF | |||||||||||||
| Case 5 | 41/M | LE | LE oculodermal melanosis | 6/18 | N/A | VA decrease | IT | + | Low reflectivity | Diffuse posterior pole exudates | Proton beam radiotherapy and transretinal biopsy and anti-VEGF | Spindle cell | Increased intraocular pressure |
| LE CSCR | Positive Doppler | Vitreous haemorrhage | |||||||||||
| RE amblyopia | 10.77 × 8.66 (5.34) mm | Asteroid hyalosis | Disomy 3 (MSA) | Antiglaucoma drops | |||||||||
| Case 6 | 55/F | RE | POAG | 6/9 | 6/15 | Asymptomatic | ST | + | Medium reflectivity | Subretinal haemorrhage and exudates | Proton beam radiotherapy | N/A | Radiation maculopathy and retinopathy |
| 10.67 × 9.54 (3.42) mm | Pigmented retinal infiltration | Pigmented vitreous infiltrates Ocular surface problems | |||||||||||
| Case 7 | 49/F | LE | LE choroidal naevus | 6/6 | 6/7.5 | Photopsias | Inferior juxtapapillary | + | Low reflectivity | Subretinal material and exudates | Proton beam radiotherapy | N/A | – |
| Endometriosis | |||||||||||||
| Migraine | 4.8 × 4.3 (1.42) mm | ||||||||||||
| Case 8 | 79/M | LE | Hypertension | 6/30 | NLP | VA decrease, photopsias, floaters | S | + | Variable reflectivity | Retinal infiltration | Enucleation | Spindle cell | – |
| (Apex medium-high, base medium-low) | Vitreous pigment | ||||||||||||
| 10.1 × 7.8 (8.1) mm | Inferior subretinal exudates | Disomy 3 (MLPA and MSA) |
M, male; F, female; RE, right eye; LE, left eye; SN, superonasally; ST, superotemporally; IT, inferotemporally; S, superiorly; MLPA, multiplex-ligation-dependent probe amplification; MSA, microsatellite analysis; VEGF, vascular endothelial growth factor; POAG, primary open-angle glaucoma; CSCR, central serous chorioretinopathy; NLP, no light perception; N/A, not available.