Extramacular disciform lesions simulating uveal tumors

Ophthalmology. 1992 Jun;99(6):944-51. doi: 10.1016/s0161-6420(92)31870-6.


Purpose: The purpose of this study is to identify clinical, ultrasonographic, and fluorescein angiographic features of extramacular disciform lesions that allow differentiation from uveal tumors.

Methods: This was a retrospective study of 19 patients referred to our ocular oncology unit with a possible malignancy who had a diagnosis of an extramacular disciform lesion made after complete evaluation.

Results: The level of accuracy for each diagnostic technique alone was as follows: clinical (79%), ultrasonography (83%), and angiography (83%). Fluorescein angiography had limited utility because of severe media opacities in seven cases. No tumor developed an intraocular malignancy during the follow-up period.

Conclusion: A combination of the above, noninvasive techniques can be used to correctly diagnose extramacular disciform lesions.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Choroid Neoplasms / diagnostic imaging*
  • Diagnosis, Differential
  • Female
  • Fluorescein Angiography
  • Follow-Up Studies
  • Fundus Oculi
  • Humans
  • Macula Lutea / diagnostic imaging*
  • Male
  • Middle Aged
  • Retinal Diseases / diagnostic imaging*
  • Retinal Hemorrhage / diagnosis
  • Retrospective Studies
  • Ultrasonography