PPT-Pigmented Choroidal Lesions – UHNM

Choroidal Naevus clinic Dr Andrew Brown November 2016 Differentiating between benign and malignant choroidal lesions When to refer urgently When to refer routinely How to refer UHNM . Choroidal. Lesions – UHNM . Choroidal. . Naevus. clinic. Dr. Andrew Brown. November 2016. Differentiating between benign and malignant . choroidal. lesions. When to refer urgently. When to refer routinely. Denis Jusufbegovic, M.D.. University of Louisville. Department of Ophthalmology and Visual Sciences . 2/11/16. Case Presentation . CC: “ L. eft eye turning in x few weeks”. HPI. : . 5 . yo. . RETINAL ANATOMY. *Choroid. *Retina. *Optic nerve. Retinal Vasculature. Central retinal artery. Branch retinal arteries. Arterioles. Capillaries . Venules. Branch retinal veins. Central retinal vein. Reasons for physician wanting FA. VITRORETINAL FLOWSHIP. FA –ICG OCT. IN ARMD. Angiography. Angiography is a diagnostic test used by ophthalmologists to photograph structures in the back of the eye and is especially useful in finding . AIL 2013BY MICHAEL ULLAN BS PRIYA SHARSlow Growth of evus ransformation to MelanomaFigure 1 Baseline fundus photograph of the right eye revealing a pigmented 20 mm x 15 mm choroidal nevus in the supe Grand . Rounds. The Masquerade Spot. CC. Annual follow up. HPI. 56 . yo. female . with history of Rosai-Dorfman . disease who presents for annual follow up for suspicious choroidal lesions OU (first discovered ~10 years ago). No change in vision. Leprosy is a . chronic disease . of the nervous system which affects the skin and nerves caused by a bacteria known as . Mycobacterium Leprae. .. The organism was discovered by . Gerhard Armauer Hansen. Chapter 18 Contact Dermatitis and Chemical Depigmentation Jasmine absoluteMain sensitizer not yet identifiedFragrance10…5% pet.Synthetic sandalwoodMain sensitizer not yet identifiedFragrance10% p Project supported and accepted by IDS Damiani Giovanni*, Ribero Simone**, Puig Susana*** * Department of Dermatology, University of Milan, Italy ** Department of Medical Sciences, University of Turin, JULY 2014 23 T he first references to dermatoscopy are from the 1920s, Saphier first using the term in 1923. It is now established that use of a dermatoscope in clinical practice increases diagno 1 Dr Labeed AL Samarrai OMFS . FICMS 5 t h stage Associations with Melanin Pigmentation of Oral Mucosa P hysiologic or syndromic associations ● Racial or physiologic pigmentation ● Peutz - Jegh 200 micrometers from the foveal avascular zone) 18. b)subfoveal CNV 19. c)juxtafoveal CNV ( 200 micrometers from the foveal avascular zone) 20. 5)In contrast to POHS, the following clinical features a Additional Professor,. Department of Ophthalmology,. AIIMS, . Rishikesh. Acknowledgement. Some clinical photographs . in this presentation are . courtesy. Dr.Brad. Bowling . (. Kanski’s. . Clinical Ophthalmology. Brown . melanotic. lesions. Ephelis. and oral . melanotic. . macule. Nevocellular. nevus and blue nevus. Malignant melanoma. Drur. -induced . melanosis. Physiologic pigmentation. Café au . lait.