Late-Onset Bilateral Choroidal Metastases from Clear Cell Renal Cell Carcinoma

Figure 1

Color fundus image of the right eye (a) revealed an elevated, oval-shaped, lightly pigmented, orange, subretinal lesion in the inferotemporal quadrant with secondary serous retinal detachment extending to the macula. In the left eye (b), a nonpigmented, reddish-white, subretinal lesion below the inferior temporal arcade was observed. Examination with optical coherence tomography in the right eye (c) revealed eradication of the choriocapillaries and irregular choroidal surface overlying the lesion and in the left eye (d) showed a dome-shaped choroidal morphology, compression of the overlying choriocapillaris, and intraretinal fluid at the site of the lesion. Ultrasound examination showed dome-shaped choroidal lesions in the right (e) and left (f) eyes with a medium-to-high internal reflectivity and a dense acoustic sign.

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