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UVEA Choroidal melanoma Statistically of every 500 choroidal nevi one will undergo malignant transformation if followed for 10 years There are number of risk factors for such melanoma trans-formation, the most important of which appears to be initial thickness of > 2 mm Carol Shields at Wills Eye Hospital (USA) has done a lot of work in this area. She identifies 5 factors associated with risk of growth of small choroidal lesions: 1. tumor thickness greater than 2.0 mm 2. subretinal fluid 3. visual symptoms 4. orange pigment 5. posterior tumor margin touching the disc These five factors can be easily rememberd with the mnemonic: To Find Small Ocular Melanoma (= Thickness, Fluid, Symptoms, Orange pigment, Optic Disc Margin) These images were originally published in the Retina Image Bank. Henry J. Kaplan, MD Mayo Clinic Jacksonville, Florida. Year 2013; Image Numbers 7799 and 10386. © the American Society of Retina Specialists. Video
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UVEA Choroidal melanoma - Green Club · melanoma trans-formation, the most important of which appears to be initial thickness of > 2 mm Carol Shields at Wills Eye Hospital (USA) has

May 31, 2020

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Page 1: UVEA Choroidal melanoma - Green Club · melanoma trans-formation, the most important of which appears to be initial thickness of > 2 mm Carol Shields at Wills Eye Hospital (USA) has

UVEA Choroidal melanoma

● Statistically of every 500 choroidal nevi one will undergo malignant transformation if followed for 10 years

● There are number of risk factors for such melanoma trans-formation, the most important of which appears to be initial thickness of > 2 mm

● Carol Shields at Wills Eye Hospital (USA) has done a lot of work in this area. She identifies 5 factors associated with risk of growth of small choroidal lesions:1. tumor thickness greater than 2.0 mm 2. subretinal fluid3. visual symptoms4. orange pigment5. posterior tumor margin touching the disc

These five factors can be easily rememberd with the mnemonic: To Find Small Ocular Melanoma(= Thickness, Fluid, Symptoms, Orange pigment, Optic Disc Margin)

These images were originally published in the Retina Image Bank. Henry J. Kaplan, MD Mayo Clinic Jacksonville, Florida. Year 2013; Image Numbers 7799 and 10386. © the American Society of Retina Specialists. Video�