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Case Studies in Ophthalmology

Cases for the Ophthalmology Clerkship

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Return the printed copy with your answers to Michelle Snyder or Dr. Kemp via campus mail (11290 PFP) or scan as a pdf and email to Michelle at michelle-r-snyder@uiowa.edu or Dr. Kemp at pavlina-kemp@uiowa.edu.

Case #10 Metastatic Choroidal Tumor

History

A 53 year old white female states her vision in her eye has been blurry for two - three weeks.

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Question #1

Describe the ophthalmoscopic appearance. What is the differential diagnosis?

Question #2

What other ophthalmic tests would you order?

Question #3

What systemic tests would you order?

Question #4

What are the most common metastatic tumors to the choroid?

Question #5

If this were a metastatic tumor, how would you treat it?

Question #6

What is the prognosis for a patient with a metastatic tumor of the choroid?

References

Roy FH: Ocular differential diagnosis, ed 3. Philadelphia, Lea & Febiger, 1984, pp. 367-368.

Newell FW: Ophthalmic Principles and Concepts, ed 6. C.V. Mosby, St. Louis, 1986, pp 304.

Freedman MJ, Folk JC: Metastatic tumors to the eye and orbit. Patient survival and clinical characteristics. Arch Ophth 1987; 1215-1219.

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