Tumours of the Fundus

Question 1

Retinoblastoma Signs

Answer 1

Poor vision in child, Tumour, Leukocoria, Strabismus, eye redness and swelling of the eyelids, Proptosis

Question 2

Retinoblastoma management

Answer 2

Refer child to specialist to prevent spreading of the tumour. Chemotherapy, laser therapy, enucleation

Question 3

Choroidal Naevus signs

Answer 3

Oval, slate-blue or grey lesion with slightly blurry outline, surface drusens over a large lesion

Question 4

Suspicious Naevus

Answer 4

Blurred vision, metamorphopsia, photopsia, dimension >5mm in diameter and >1mm in thickness, traces of surface orange pigment, absence of drusens on thick lesions, margin near optic disc,

Question 5

Choroidal Naevus management

Answer 5

Normal: no treatment
Sus: baseline fundus photo, further testing and follow up

Question 6

Choroidal Melanoma signs

Answer 6

Elevated dome-shaped mass, collar stud mushroom-like appearance

Question 7

Choroidal Melanoma management

Answer 7

Refer urgently for specialist investigation and treatment

Question 8

Congenital Hypertrophy of the Retinal Pigment Epithelium pathogenesis and signs

Answer 8

Is the results from the proliferation of pigment epithelium cells.
Appear as light grey to black well-define lesions
May appear multiple times giving ‘bear track’ appearance