Abstract
Purpose: To describe a case of sub retinal hemorrhage mimicking as uvealtumour.Material and Methods: Although new diagnostic techniques are emerging everynow and then, indirect ophthalmoscopy is still a gold standard in the diagnosis ofretino-choroidal lesions. Problems arise when media is not clear. OCT, FFA arenot possible in hazy media and fine needle aspiration cytology carries a risk ofseeding. There are other conditions like choroidal naevi, choroidal hemangiomasand hemorrhages which can observed, but when it comes to choroidalmelanoma, it becomes very important to diagnose it in time to prevent metastaticcomplication and death. A case of an 81 years old male is presented who hadvitreous hemorrhage and a sub retinal mass. Age of the patient, size of the massand B scan were quite confusing to exclude a choroidal malignancy. Pars planavitrectomy was performed and the mass proved to be a sub retinal hemorrhagesecondary to exudative age – related macular degeneration.Key Words: Choroidal melanoma, sub retinal hemorrhage, Intra gelhemorrhage, choroidal lymphoma, choroidal metastasis, choroidal naevus.
Tayyaba Gul Malik, Muhammad Khalil, Afzal Hussain. (2015) Sheep in the Skin of a Wolf, An Unusual Sub-retinal Lesion, Pakistan Journal of Ophthalmology, Volume 31, Issue 3.
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