Ultra wide-field imaging of choroidal metastasis secondary to primary breast cancer.
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.
Coffee
Robert E
RE
Retina Division, Jules Stein Eye Institute, Department of Ophthalmology, David Geffen School of Medicine, University of California, Los Angeles, California 90095, USA.
Jain
Atul
A
McCannel
Tara A
TA
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