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

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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,

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About the Author Daniel Kowalsky Moskaliuk, OD is a graduate of NOVA Southeastern College of Optometry Class of 2023. Has has completed an ocular disease residency at SUNY College of Optometry with a focus in retina and glaucoma. After completing his residency, he will begin to practice at Memorial Sloan

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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

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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.

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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

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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

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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

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