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Medical Forum / General / Vision / April 2005

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Another fundus photo for the docs

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William Stacy - 26 Apr 2005 16:26 GMT
I think I'm just seeing a little extra pigment sitting in a patch of
relatively depigmented retina.

click on http://www.obase.net/steele.jpg

Agree? or not, let me know.

thanks

w.stacy, o.d.
RM - 26 Apr 2005 18:53 GMT
agree.  looks relatively benign to me.  I would monitor for changes at next
exam.

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>I think I'm just seeing a little extra pigment sitting in a patch of
>relatively depigmented retina.
[quoted text clipped - 6 lines]
>
> w.stacy, o.d.
Mike Tyner - 26 Apr 2005 20:08 GMT
>I think I'm just seeing a little extra pigment sitting in a patch of
>relatively depigmented retina.

I agree it's probably benign.

The pigment suggests a ring when you play with the contrast.

It looks like a satellite histo lesion. Sometimes there's only one.

Possibly an old AV malformation rupture or minor vascular event.

Did you change the file name?

-MT
William Stacy - 26 Apr 2005 20:40 GMT
No sure if that question is to me, but yes, I did.  I probably should
just use patient I.D. #s (unique to my office) on these photos, and will
from now on.

w.stacy, o.d.

>Did you change the file name?
>
>-MT
>
>  
Dr. Leukoma - 26 Apr 2005 21:26 GMT
It seems too large for a histo spot, and those are seldom sentinal.

Possibly toxo, but there doesn't seem to be enough fibrosis and tissue
destruction.

The borders aren't sharp (the light area).  Is this coming from the
choroid?  Is it elevated?

DrG
William Stacy - 26 Apr 2005 21:47 GMT
Not sure about the elevation; will bring pt. back in for another look
soon. Will attempt a stereo photo and will get a better look with sl. lamp.

w.stacy, o.d.

>It seems too large for a histo spot, and those are seldom sentinal.
>
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