Page 29 - The Freckled Eye - Book

symptoms. Choroidal melanoma may perhaps present with the below listed

symptoms:

· Paracentral scotoma

· Blurred visual acuity

· Floaters

· Painless and progressive visual field loss

· Serious ocular pain

· Marked fatigue, weight loss, cough, or change in bowel or bladder habits

Ophthalmologic examination may possibly disclose the following:

· As choroidal melanomas develop, they may implement more unusual

configurations

· Small choroidal melanomas normally take the look of a nodular, dome-shaped,

and well-confined mass beneath the retinal pigment epithelium

· Spread choroidal melanoma, embodied by transverse growth all through the

choroid having minimal enlargement, are harder to diagnose and commonly

bring about major exudative retinal detachment

· If the tumor is bright-colored, its unusual vascularization typically can be

perceived ophthalmoscopically

· Choroidal melanomas may possibly have variable coloration, going from

amelanotic to bleakly pigmented; some are partly pigmented

· Covering the choroidal melanoma, there are typically retinal pigment epithelial

adjustments, coverings of atrophy, and orange discoloration; orange changes

can happen in both benign and malignant lesions

· Rare presentations of highly developed choroidal melanoma are a terrible blind

eye with proptosis and cataract from tumor transscleral orbital extension