Ocular tumors

Question 1

Choroid melanoma SXS?

Answer 1

FAB
F - Floaters
A -ASX
B - Blurry vision

Question 2

Choroid melanoma metastasis to?

Answer 2

Liver (70%), Lungs (40%)

Question 3

Choroid melanoma DX:

Answer 3

I SUM

I - Indirect ophthalmoscope (gold standard)
S - Slit lamp
U - U/S
M - MRI/CT

Question 4

Choroid melanoma bad prognosis indicators:

Answer 4

TAMPED:
T -Thickness
A - Anterior location (more blood vessels)
M - Mitosis
P - Penetration (sclera/ conj)
E - Epithelial cells
D - Diffuse

Question 5

Choroid melanoma on U/S, ___ mm or more is indicative of prognosis

Answer 5

1

Question 6

RB gene and chromosome?

Answer 6

RB1 chromosome 13

Question 7

RB clinical presentation?

Answer 7

RiVLiNS
R - Red eye (7%)
V - Vision (10%)
L - Leukocoria (60%)
N - Normal exam (3%)
S - Strabismus (20%)

Question 8

Leukocoria DDX?

Answer 8

PRaCTiC
P - PHPV (persistent hyperplastic primary vitreous)
R - RB (most common and important)/RD (chronic)
a
C - Cataracts (congenital)
T - Toxocariasis
i
C - Coats (telangiectasis)

Question 9

Melanoma vs Rb treatment?

Answer 9

Melanoma - Radiotherapy (local)

Rb - chemo