Paraneoplastic Vitelliform Retinopathy Following Ciliochoroidal Melanoma


KIRATLI H., KADAYIFÇILAR S., Tarlan B.

OPHTHALMIC SURGERY LASERS & IMAGING RETINA, cilt.44, sa.3, ss.290-292, 2013 (SCI-Expanded) identifier identifier identifier

Özet

A case of a paraneoplastic vitelliform retinopathy is described in the fellow eye of a 40-year-old woman 4 years after enucleation of her left eye for a ciliochoroidal melanoma. There were multiple yellow subretinal vitelliform-like lesions at the posterior pole, which were hyperautofluorescent and hypofluorescent on fluorescein and indocyanine green angiographies. Spectral-domain optical coherence tomography showed hyper-reflective material between the retinal pigment epithelium and the photoreceptor layer. Paraneoplastic vitelliform retinopathy may appear concomitantly with the development of distant metastases years after treatment of a ciliochoroidal melanoma and may present with symptoms resembling melanoma-associated retinopathy and electroretinogram findings. However, unlike with melanoma-associated retinopathy, the retinal lesions are located between the retinal pigment epithelium and the photoreceptor layer.