2023/01/30 by Aslıhan Yılmaz Çebi, Yılmaz Çebi, Aslıhan, Bilge Batu Oto +5
Medicine · #Aderhautblutung #Aderhautneoplasmen #Augenverletzungen #Fremdkörper #Medicine and health #Ocular Oncology and Treatments #Ocular and Laser Science Research #Traumatic Ocular and Foreign Body Injuries #choroid hemorrhage #choroid neoplasms #choroidal neovascularization #choroidale Neovaskularisation #eye injuries #foreign bodies
paper · doi:10.3205/oc000211
openalex publication_date 2023/01/30 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/19
Purpose: To report an occult intraocular foreign body mimicking choroidal melanoma. Methods: Medical records and imagings of the patient were retrospectively reviewed. Case description: A 76-year-old male was referred to our ocular oncology clinic with a suspicious hyperpigmented retinal lesion in the left eye. Biomicroscopy showed aphakia and peripheral iridectomy in the left eye. Fundoscopy revealed a pigmented, slightly elevated lesion on the macula of the left eye surrounded by diffuse atrophy. B-scan ultrasonography showed a preretinal hyperechoic lesion with posterior shadowing. There was no choroidal mass in B-scan or optical coherence tomography (OCT) imaging. On further questioning, it was disclosed that the patient had been hit by an iron fragment in the left eye forty years ago. Conclusion: Choroidal melanoma is a vision- and life-threatening intraocular malignant tumour. Various neoplastic, degenerative, and inflammatory conditions can simulate choroidal melanoma. A previous history of penetrating ocular trauma should lead the surgeon to re-evaluate a diagnosis of melanoma.