The value of Optos Panoramic 200MA imaging for the monitoring of large suspicious choroidal lesions.

PURPOSE: Suspicious elevated choroidal lesions require close monitoring for potential malignant transformation. We describe a case of a large choroidal lesion in which conventional digital photography was not optimal for documenting baseline clinical features. The Optos Panoramic 200MA system documented the lesion in its entirety.

DESIGN: Observational case report.

METHOD: A 75 year old female presented with decreased vision and a large pigmented choroidal lesion (> 10 mm in diameter).

RESULT: Standard 30 degree fundus photography yielded poor images due to the large size of the lesion and media opacity from cataract. The Optos system allowed for the entire lesion to be readily captured in a single photograph for serial evaluations over time.

CONCLUSION: Large dimension choroidal lesions of the fundus may be more easily and accurately documented with Optos ultrawide-field imaging.