Transscleral Biopsy of a Choroidal Mass

  • Vincent Y Ho, MD
  • Bradley T. Smith, MD, FASRS
  • Video
  • Published 2014

A 76-year-old woman with a history of breast cancer, basal cell carcinoma, and cutaneous melanoma presented with an 18 mm x14 mm inferonasal lesion 11 mm in height. Given her extensive cancer history, a tissue biopsy was ordered to aid in diagnosis and help determine her treatment plan.

The surgeons created a limited peritomy and looped 2 muscles. A partial-thickness scleral flap provided access to the underlying choroid, and 3 needle passes yielded specimens for pathology and gene-expression profiling.

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