Abstract
Three cases are used to demonstrate the main types of cystoid macular edema, which have been seen to occur in association with choroidal melanomas: 1) direct involvement in cases, where the neoplasm is located under the foveal retina, 2) indirect involvement due to a subfoveal exudate in choroidal melanomas distant to the fovea and 3) indirect foveolar involvement without associated subfoveal tumor or exudate. A recording of the pathology of these three basic reaction patterns of the central retina in choroidal melanomas is considered important. It is emphasized, that combinations of the reactions are common and may result in more complex situations.
Zusammenfassung
Drei Fälle werden benutzt, um die Haupttypen von zystoidem Maculaödem zu demonstrieren, die zusammen mit malignen Aderhautmelanomen gesehen werden: 1) direkte Foveabeteiligung in Fällen, in denen der Aderhauttumor im Foveabereich liegt, 2) indirekte Foveabeteiligung in Fällen mit subfovealem Exudat und extrafovealen Melanom und 3) indirekte Foveabeteiligung in Fällen, in denen im Foveabereich weder ein Melanom noch retroretinales Exudat gefunden werden. Ein Verständnis dieser drei fundamental verschiedenen Reaktionstypen der zentralen Netzhaut bei Aderhautmelanomen ist wichtig. Es wird darauf hingewiesen, daß Kombinationen dieser drei Hauptreaktionstypen häufig sind und zu komplizierteren Situationen führen können.
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Supported by the Research To Prevent Blindness, Inc., New York, N.Y.
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Wolter, J.R. Three basic types of foveal involvement in choroidal melanomas. Graefe's Arch Clin Exp Ophthalmol 218, 237–243 (1982). https://doi.org/10.1007/BF02175889
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DOI: https://doi.org/10.1007/BF02175889