Paraneoplastic vitelliform retinopathy in a patient with treated choroidal melanoma.
OBJECTIVE
To describe a peculiar case of paraneoplastic vitelliform maculopathy/retinopathy in a patient with treated choroidal melanoma.


METHODS
A case report of a 58-year-old woman with a history of treated choroidal melanoma 16 years before developing visual changes in the setting of metastatic choroidal melanoma.


RESULTS
We demonstrate bilateral, multifocal vitelliform subretinal lesions and focal, neurosensory retinal detachment associated with metastatic melanoma.


CONCLUSIONS
Paraneoplastic vitelliform maculopathy/retinopathy should be considered in patients with or without a history of melanoma, who have unexplained serous, vitelliform retinal detachments, especially with atypical or absence of leakage on fluorescein angiography.
*Pacific Vision Foundation, California Pacific Medical Center, San Francisco, California; †West Coast Retina Medical Group, San Francisco, California; and ‡Department of Ophthalmology, Stanford University School of Medicine, Stanford, California.
Steven L
SL
Williams
H Richard
HR
McDonald
J Michael
JM
Jumper
Arthur D
AD
Fu
Brandon J
BJ
Lujan
Emmett T
ET
Cunningham
Robert N
RN
Johnson
D002830:Choroid Neoplasms / Q000150:complications* / Q000556:secondary / Q000628:therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008545:Melanoma / Q000150:complications* / Q000556:secondary / Q000628:therapy; D008875:Middle Aged; D059545:Paraneoplastic Syndromes, Ocular / Q000473:pathology*; D012164:Retinal Diseases / Q000209:etiology*