Case Study 147 Nevus Transforming to Melanoma
DF is a 56-year-old man who complained of slight visual distortion in his right eye on presentation to his optometrist. Examination showed visual acuity of 20/20-2 in that eye and 20/20 in his left eye. The anterior segment examination was normal, but fundus examination showed a lightly pigmented submacular lesion. Fluorescein angiography was ordered, and the lesion demonstrated initial hypofluorescence with delayed spotty leakage and staining. Echography was performed and displayed a high-reflective lesion measuring 1.11 mm in thickness and just under 5 mm in basal diameter. The patient was seen a year later with no change in symptoms or echographic findings.