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A 65 year old woman with visual changes
Digital Journal of Ophthalmology 2005
Volume 11, Number 14
July 28, 2005
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Burton Goldstein, M.D. | University of South Floida Eye Institute
David Eichenbaum | Ophthalmic Consultants of Boston/Tufts New England Eye Center
Ancillary Testing
Radiographic Studies
Ancillary Testing

A fluorescein angiogram performed at the initial visit was remarkable for mottled hyperfluorescence in the early venous phase (Figures 2 and 3). Ultrasonographic data revealed a largely homogenous mass with a medium to low internal reflectivity, and a strong initial and scleral spike. No internal quiet zone was noted. Dimensions on were noted to be 14.54mm x 13.86mm x 4.45-4.7mm (Figure 4). An MRI of the brain with and without contrast revealed a plaque-like, lenticular-shaped, homogeneously enhancing retinal-based mass in the superomedial portion of the left globe. The lesion was isointense to the brain on both T1- and T2-weighted images.
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Early Phase Angiogram
Angiogram of the mass at 0:08

Peak Phase Angiogram
Angiogram of the mass at 0:34

Pre-Radiation Ultrasound
L930 B-scan of the mass before external beam radiation

Post-Radiation Ultrasound
L930 B-scan of the mass after external beam radiation