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  • Title: Ultra wide-field imaging of choroidal metastasis secondary to primary breast cancer.
    Author: Coffee RE, Jain A, McCannel TA.
    Journal: Semin Ophthalmol; 2009; 24(1):34-6. PubMed ID: 19241290.
    Abstract:
    PURPOSE: To demonstrate the ability of ultra wide-field fundus imaging to document the response to treatment of a choroidal metastatic lesion from primary breast carcinoma. DESIGN: Observational case report. METHODS: A 45 year old female with a history of metastatic breast cancer and progressive vision loss in the right eye was noted to have an elevated, minimally pigmented choroidal lesion in the superior fundus periphery associated with a serous retinal detachment involving the macula. Ultra wide-field imaging allowed for comparison of the lesion size and secondary serous retinal detachment in response to systemic chemotherapy. RESULTS: Over a 3 month follow up period of observation while the patient received systemic chemotherapy the lesion demonstrated increased growth and increased subretinal fluid. CONCLUSION: Ultra wide-field fundus photography allowed for accurate documentation of growth of a peripheral choroidal metastatic lesion and associated serous retinal detachment.
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