[Uveal effusion in its pseudotumoral form. A case report].
Uveal effusion exhibits various clinical presentations, some of which may lead to erroneous diagnosis and mimic a choroidal tumor. A 73-year-old female patient displayed a choroidal lesion with a tumoral appearance spontaneously affecting her right eye. Ultrasonography did not establish the diagnosis, leaving doubt for a tumor. In addition to the tumor - like lesion, a moderate inflammation was found in her right eye. The clinical course was favorable and one month after the initial examination, no fundus abnormalities were observed. The delay imposed by the MRI examination contributed to the lack of any active treatment. Apart from cases occurring postoperatively, the diagnosis of uveal effusion may sometimes be difficult to establish. In order to avoid enucleation and even if ultrasonography is helpful in reaching the correct diagnosis, it seems appropriate to wait and regularly follow up the patients when the diagnosis is not certain. The clinical course might be helpful to establish the diagnosis. Our case suggests that in pseudotumoral forms of uveal effusion, we should repeat clinical examination and ultrasonography in order to manage these patients appropriately.
Halhal
M
M
Service d'Ophtalmologie (Pr G. Renard), Hôtel-Dieu, 1, place du Parvis Notre-Dame, 75181 Paris Cedex 04.
D'hermies
F
F
Berges
O
O
Chauvaud
D
D
Bertin
S
S
Grateau
G
G
Renard
G
G
D000368:Aged; D002830:Choroid Neoplasms / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005122:Exudates and Transudates / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009887:Ophthalmoscopy; D010146:Pain / Q000209:etiology; D012075:Remission, Spontaneous; D013997:Time Factors; D014463:Ultrasonography; D014603:Uveal Diseases / Q000175:diagnosis* / Q000209:etiology; D014792:Visual Acuity