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Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 47-50

Amelanotic choroidal melanoma presenting as tubercular granuloma

1 Sankara Nethralaya, Retina and Vitreous Services, Chennai, Tamil Nadu, India
2 Department of Ophthalmic Pathology Laboratory, L V Prasad Eye Institute, Kar Campus, Hyderabad, Telangana, India
3 Center of SMT.Kanuri Santhamma for Vitreo-Retinal Diseases, L V Prasad Eye Institute; SMT. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, The Operation Eyesight Universal Institute for Eye Cancer, L V Prasad Eye Institute, Hyderabad, Telangana, India

Correspondence Address:
Dr. Vishal Raval
The Operation Eyesight Universal Institute for Eye Cancer, L V Prasad Eye Institute, Hyderabad - 500 034, Telangana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jocr.jocr_2_22

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A 52-year-old woman presented to our outpatient department with chief complaints of progressive diminution of vision in the left eye for 1 year. She did receive antitubercular treatment for 1 year in view of presumed choroidal lesion of tubercular origin. However, the lesion continued to increase in size and hence the patient came for second opinion. Multimodal imaging such as ultrasonography (A and B scan) along with indocyanine green angiography was suspicious for malignant choroidal melanoma. A diagnostic fine-needle aspiration biopsy confirmed the clinical diagnosis of amelanotic variant of choroidal melanoma. The patient subsequently underwent treatment with plaque brachytherapy. At 3-month follow-up, the tumor regressed with reduction in height as well as surrounding retinal pigment epithelial atrophy.

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