By means of fundus photographs of metastatic choroidal carcinomate in 20 patients it is shown that the slightly prominent yellowish-grey (rarely more intense whitish-yellow) areas appear to be either lobular, composed of various nodes, or more homogeneous and solitary. Illustrations are presented of mammary carcinomata (14 × ), bronchial carcinomata (3 × ) and uterine carcinomata (3 × ). The bilateral metastases, occurring in 5 cases, appear all over the eye-ground; the left eye was more frequently affected. Scarring from irradiation (or the use of cytostatics) is followed in the region of the tumour either by pure depigmentation, an almost regular patchy or punctate pigmentation, irregular displacement of pigment such as follows a severe choroiditis disseminata, or a dark, almost regular pigmentation. The X-ray radiation of a chorioidal metastasis of a uterine carcinoma led to necrosis of the chorioidea, the pigment epithelium, and the peripheral retina.

Keywords:
Chorioidal tumour, X-ray treatment
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© 1979 S. Karger AG, Basel
1979
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