title: Ultra wide-field imaging of choroidal metastasis secondary to primary breast cancer.
abstract: OBJECTIVE
  To demonstrate the ability of ultra wide-field fundus imaging to document the response to treatment of a choroidal metastatic lesion from primary breast carcinoma.
  
  
  METHODS
  Observational case report.
  
  
  METHODS
  A 45 year old female with a history of metastatic breast cancer and progressive vision loss in the right eye was noted to have an elevated, minimally pigmented choroidal lesion in the superior fundus periphery associated with a serous retinal detachment involving the macula. Ultra wide-field imaging allowed for comparison of the lesion size and secondary serous retinal detachment in response to systemic chemotherapy.
  
  
  RESULTS
  Over a 3 month follow up period of observation while the patient received systemic chemotherapy the lesion demonstrated increased growth and increased subretinal fluid.
  
  
  CONCLUSIONS
  Ultra wide-field fundus photography allowed for accurate documentation of growth of a peripheral choroidal metastatic lesion and associated serous retinal detachment.
authors.affiliation: Retina Division, Jules Stein Eye Institute, Department of Ophthalmology, David Geffen School of Medicine, University of California, Los Angeles, California 90095, USA.
authors.forename: Robert E
authors.initials: RE
authors.lastname: Coffee
authors.forename: Atul
authors.initials: A
authors.lastname: Jain
authors.forename: Tara A
authors.initials: TA
authors.lastname: McCannel
mesh_terms: D001943:Breast Neoplasms / Q000188:drug therapy / Q000473:pathology*; D002830:Choroid Neoplasms / Q000175:diagnosis* / Q000556:secondary*; D005260:Female; D005451:Fluorescein Angiography / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology