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Anterior High-Resolution Optical Coherence Tomography in the Diagnosis and Therapeutic Monitoring of Ocular Surface Squamous Neoplasia
Published on: August 9, 2024
Intraocular Neoplasm Suggested by Ocular POCUS Examination
Felipe Hernández-Restrepo1, Santiago Hernández-Moreno1, Alejandro Cardozo-Ocampo1
1Emergency Department, Fundación Instituto Neurológico de Colombia, Medellín, Colombia.
None:
We report the case of a 30-year-old woman with no relevant medical history who presented with a new-onset headache associated with nausea, vomiting, photophobia, phonophobia, and right nasal hemianopsia. Ocular point of care ultrasound (POCUS) examination revealed a hyperechoic lesion adhered to the vascular layer that did not move with eye movements. The patient was referred to ophthalmology, where choroidal melanoma was confirmed. Extension studies showed no metastases, and enucleation was performed. This case highlighted the importance of ocular POCUS in the diagnostic approach to this patient.
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