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. 2024 May 14;10(3):168–174. doi: 10.1159/000539180

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.