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DISAPPEARING CHOROIDAL MELANOMA ON OPTOS: THE NOSE ARTIFACT
Spencer M Onishi1, Gordon S Crabtree1, Steven J Marks1
1Retina Service, Geisinger Eye Institute, Danville, Pennsylvania; and.
Retinal Cases & Brief Reports
|July 21, 2018
Summary
Optos wide-angle imaging can create a concerning nose artifact, mimicking a choroidal tumor. Proper patient positioning is crucial to avoid misdiagnosis in retinal imaging.
Area of Science:
- Ophthalmology
- Medical Imaging
Background:
- Wide-angle imaging devices like Optos offer extensive retinal views.
- Accurate interpretation of retinal images is vital for diagnosing ocular conditions.
Observation:
- A case report details an 11-year-old girl initially suspected of having a choroidal tumor.
- The suspicious lesion was identified via Optos wide-angle imaging.
- Subsequent examinations, including funduscopy and B-scan ultrasonography, did not reveal any mass.
Findings:
- The apparent choroidal tumor on Optos imaging was identified as a nose artifact.
- This artifact resulted from improper patient positioning during the wide-angle scan.
Implications:
- Wide-angle imaging artifacts can lead to misdiagnosis and unnecessary patient anxiety.
- Emphasizes the importance of meticulous patient positioning and image review in Optos imaging.
- Highlights the need for correlation with other diagnostic methods to confirm findings.
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