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To illustrate the utility of ultrawide-angle fundus imaging in documenting a suspicous lesion in the far retinal periphery. Observational case report. A 48 year-old female with new onset floaters in the left eye was noted to have an elevated and heavily pigmented lesion in the far retinal periphery. Optos Panoramic200MA ultrawide-field photography and fluorescein angiography allowed for accurate serial documentaton of the lesion which was determined to be a retinal pigment epithelial adenoma. Over a four year period of observation, Optos ultrawide-field photography of the retinal pigment epithelial adenoma demonstrated stability of the lesion size and mild lesion depigmentation with overlying vitreous pigmentation. The Optos ultra-widefield system demonstrates the ability to rapidly and reproducibily obtain images to monitor a peripheral retinal pigment epithelial adenoma for objective and comparitive detection of change.


Sumit P Shah, Atul Jain, Robert E Coffee, Tara A McCannel. Optos Panoramic 200MA ultrawide-field imaging of peripheral RPE adenoma. Seminars in ophthalmology. 2009 Jan-Feb;24(1):37-9

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PMID: 19241291

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