The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Sentinel vessels

Photo by Professor Chua Chung Nen

This 65 year-old man who suffered from lung cancer was referred because of reduced left vision. Examination revealed dilatation of the temporal episcleral vessels and a dense cataract. The intraocular pressure was normal. B-scan revealed the presence of a large choroidal mass most likely to represent choroidal metastasis. 

 

Left superior corneal neovascularization with lipid keratopathy and calcification.

 

B-scan showing a large choroidal mass.

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