Monthly Archives: May 2024

Case #66: Part 1 — Mass Lesions of the Ciliary Body – Page 17 of 17

ReferencesGunduz, Kaan, et al. “Plaque radiotherapy of uveal melanoma with predominant ciliary body involvement.” Archives of ophthalmology 117.2 (1999): 170.Marigo, Flavio A., et al. “Iris and ciliary body melanomas: ultrasound biomicroscopy with histopathologic correlation.” Archives of ophthalmology 118.11 (2000): 1515.Shields JA, Shields CL. Clinical features of posterior uveal melanoma. In: Shields JA, Shields CL,

Case #66: Part 1 — Mass Lesions of the Ciliary Body – Page 17 of 172024-06-12T21:27:17+00:00

Case #66: Part 1 — Mass Lesions of the Ciliary Body – Page 15 of 17

Comments and ConclusionsThe ciliary body is invisible to ophthalmoscopy and to slit lamp biomicroscopy.Lesions of the ciliary body are nearly always invisible to instruments that use light but are easily detectable by instruments using sound.The UBM is ideal for imaging mass lesions of the ciliary bodyVery common lesions, such as ciliary body cysts, are

Case #66: Part 1 — Mass Lesions of the Ciliary Body – Page 15 of 172024-06-12T21:26:56+00:00

Case #66: Part 1 — Mass Lesions of the Ciliary Body – Page 14 of 17

Case 1: Quantel Aviso Ultrasound Biomicroscope   UBM section at 8 o’clock at the time of diagnosis (June 2013) and 5 months later (Nov 2013). The mass has appeared to have regressed considerably.The patient had a normal PET scan at that time but that does not indicate the metastasis will not occur in the future.

Case #66: Part 1 — Mass Lesions of the Ciliary Body – Page 14 of 172024-06-12T21:26:47+00:00

Case #66: Part 1 — Mass Lesions of the Ciliary Body – Page 12 of 17

Case 1: Quantel Aviso Ultrasound Biomicroscope   This 9 to 3 o’clock (from left to right UBM section in the right eye in Nov 2013) barely reveals the mass, which has regressed. Although the patient had undergone LPI’s in both eyes followed by gonioplasty several years earlier, the angles still appear somewhat narrow with a

Case #66: Part 1 — Mass Lesions of the Ciliary Body – Page 12 of 172024-06-12T21:26:30+00:00

Case #66: Part 1 — Mass Lesions of the Ciliary Body – Page 11 of 17

Case 1: Optomap Color Fundus Image OD-Nov 2013   In July, the mass was noted to be 363 pixels away from a normal vessel bend but in November, the measurement appears to be approximately 589 pixels. This suggests that the mass is much further from the vessels bend in November than in June and hence

Case #66: Part 1 — Mass Lesions of the Ciliary Body – Page 11 of 172024-06-12T21:26:20+00:00

Case #66: Part 1 — Mass Lesions of the Ciliary Body – Page 10 of 17

Case 1: Optomap Color Fundus Images   Sequential UWF images. Interpreted as within normal limits in 2008. However, a mass lesion was noted in June 2013, treated in July, and appears to be regressing by Sept with further regression in Nov of the same year. The red circle and blue square are used

Case #66: Part 1 — Mass Lesions of the Ciliary Body – Page 10 of 172024-06-12T21:26:10+00:00

Case #66: Part 1 — Mass Lesions of the Ciliary Body – Page 9 of 17

Case 1: Optomap Color Fundus Image OD-Sept 2013   Two months after treatment with Iodine plaque, the lesion appeared slightly smaller and less dense. Uncorrected VA and IOPs were essentially unchanged. Slit lamp revealed the conjunctiva to be well healed at the location of where the plaque was placed and then later removed. Review of

Case #66: Part 1 — Mass Lesions of the Ciliary Body – Page 9 of 172024-06-12T21:25:55+00:00

Case #66: Part 1 — Mass Lesions of the Ciliary Body – Page 8 of 17

Case 1: Quantel Aviso Ultrasound Biomicroscope 2013   Although the UWF image had the shape of a peripheral retinoschisis (which is present in at least 1% of the general population at this age), it appeared somewhat solid and not translucent as a retinoschisis generally does. The UBM image clearly confirms a solid lesion of the

Case #66: Part 1 — Mass Lesions of the Ciliary Body – Page 8 of 172024-06-12T21:25:44+00:00