2020/6/26 Ophthalmology-Ocular tumor

Ophthalmology-Ocular tumor

Review questions

Choroidal melanoma

‫ﻧﻘطﺔ واﺣدة‬ :Regarding Fundus examination in choroidal melanoma, which is false

the tumor is non-pigmented in 50% of cases

Presence of surface orange pigment (lipofuscin)

the pathognomonic mushroom or collar stud-shape mass indicate rupturing through

Bruch’s membrane and retinal pigmented epithelium

subretinal (dome-shape) brown pigmented mass

‫ﻧﻘطﺔ واﺣدة‬ regarding Clinical features of Choroidal melanoma, which is true

Drop of vision: if the macula is affected

small peripheral tumour usually asymptomatic

acute red eye as Secondary uveitis

pigmented epibulbar mass (iris involvement)

https://docs.google.com/forms/d/e/1FAIpQLScv-jA8seUyUolYREDBuuEHXm701EUv6wnp5q_SGAZttmcskQ/formResponse 1/3
2020/6/26 Ophthalmology-Ocular tumor

‫ ﻧﻘﺎط‬4 Regarding the treatment of choroidal melanoma, match the following

conditions with best treatment option

Palliative Radioactive
Exenteration Local resection
therapy plagues

medium size
equatorial
tumours

small peripheral
tumours

extraocular
orbital spread

distance
metastasis

‫ ﻧﻘﺎط‬3 enumerate 3 DDx of Choroidal melanoma

, ‫ وﯾﻔﺿل ان ﺗﻔﺻل اﻻﺟﺎﺑﺎت ﻋن ﺑﻌﺿﮭﺎ ﺑﻔﺎرزة‬.‫ اﻟﺗﺻﻠﯾﺢ ﻏﺎﻟﺑﺎ ﺳﯾﻛون ﺑﺷﻛل ﯾدوي ﻋﻠﻰ ھذه اﻟﻧوﻋﯾﺔ ﻣن اﻻﺳﺋﻠﺔ‬: ‫ﻣﻼﺣظﺔ‬

‫إﺟﺎﺑﺗك‬

‫ﻧﻘطﺔ واﺣدة‬ regarding Choroidal melanoma, which is false

Commonest primary malignant IOT in adults

Usually unilateral

it's the least common form of uveal melanoma

Common in Caucasians, rare in African

https://docs.google.com/forms/d/e/1FAIpQLScv-jA8seUyUolYREDBuuEHXm701EUv6wnp5q_SGAZttmcskQ/formResponse 2/3
2020/6/26 Ophthalmology-Ocular tumor

‫ﻧﻘطﺔ واﺣدة‬ :regarding investigations of choroidal melanoma, which is false

Fundus photography: for documentation and follow up

Ultrasound cannot differentiate it from other choroidal masses such as haemangioma

fundus fluorescein angiography FFA can be used

abdominal US can be utilized for detection of distant metastasis

‫ﻧﻘطﺔ واﺣدة‬ regarding features of choroidal naevus, which is true

flat

close to the optic disc and macula

no surface fuscin

small pigmented lesion

‫اﻟﺗﺎﻟﻲ‬ ‫رﺟوع‬ 4 ‫ ﻣن‬3 ‫ﺻﻔﺣﺔ‬

.‫ ﻣطﻠ ًﻘﺎ‬Google ‫ﻋدم إرﺳﺎل ﻛﻠﻣﺎت اﻟﻣرور ﻋﺑر ﻧﻣﺎذج‬

‫ ﺳﯾﺎﺳﺔ اﻟﺧﺻوﺻﯾﺔ‬- ‫ ﺷروط اﻟﺧدﻣﺔ‬- ‫ اﻹﺑﻼغ ﻋن إﺳﺎءة اﻻﺳﺗﺧدام‬.Google ‫ﻟم ﯾﺗم إﻧﺷﺎء ھذا اﻟﻣﺣﺗوى وﻻ اﻋﺗﻣﺎده ﻣن ﻗِﺑل‬

 ‫ﻧﻣﺎذج‬

https://docs.google.com/forms/d/e/1FAIpQLScv-jA8seUyUolYREDBuuEHXm701EUv6wnp5q_SGAZttmcskQ/formResponse 3/3