Pe’er J, Sancho C, Cantu J, Eilam S, Barzel I, Shulman M, Blumenthal EZ.

Ophthalmologica. 2006;220(3):194-7.
Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.


PURPOSE: To compare the measurement of the basal diameter of choroidal melanoma, an important parameter for planning treatment and as a prognostic factor, by standardized ophthalmic ultrasound versus that obtained using a wide-angle fundus camera.

METHODS: The longest and shortest basal diameters of 104 consecutive choroidal melanomas of patients seen at the ocular oncology service of the Hadassah University Hospital were measured by B-scan ultrasound and compared with those measured by a wide-angle fundus camera (Panoret-1000). Each diameter was measured thrice by two ophthalmic photographers, and intra-observer and interobserver reproducibility were calculated as well.

RESULTS: The measurements of both the long and short diameters of the choroidal melanomas were significantly larger when measured by Panoret-1000 as compared with the B-scan ultrasound. There was no significant difference among the three measurements of each of the photographers. The interobserver reproducibility between the two photographers was high.

CONCLUSIONS: Our findings can be attributed to the larger extent of the pigmentation of the melanoma compared to its recognized elevation. Since pigmentation of choroidal melanoma is easier to recognize than its elevation, we assume that measurement by a wide-angle fundus camera is more accurate in pigmented tumors, and should be adopted for measuring the basal diameter of choroidal melanomas in planning treatment and follow-up.

Article as Full-Text PDF

Glaucoma & Cataract:



This website was written by Prof. Eytan Blumenthal, to better understand glaucoma & cataract. This information should not replace medical consultation.

Related Posts

Risk Factors and Incidence of Ocular Hypertension After Penetrating Keratoplasty
Faik Oruc¸oglu, MD, Eytan Z. Blumenthal, MD, Joseph Frucht-Pery, MD, and Abraham Solomon, MD Journal of Glaucoma. 2013 Feb 19. Kudret Eye Hospital, Istanbul, Turkey Department of Ophthalmology, Hadassah-Hebrew...
List of Publications- by Prof. Eytan Blumenthal
ORIGINAL RESEARCH PAPERS Blumenthal EZ. Adjusting the slit-lamp oculars: An unnecessary burden or a must?  Survey of Ophthalmology 1995;40(3):225-228. Abstract Full-text (PDF) Blumenthal EZ, Serpetopoulos...
Adjusting The Slit-Lamp Oculars: An Unnecessary Burden Or A Must?
Blumenthal EZ. Surv Ophthalmol. 1995 Nov-Dec;40(3):225-8. Department of Opthalmology, Hadassah University Hospital, Jerusalem, Israel. ABSTRACT: Adjusting the slit-lamp eyepiece rings is perceived by some...
On Focusing The Slit-Lamp: Part I. An Inaccurate Ocular Setting--What Is There To Lose?
Blumenthal EZ, Serpetopoulos CN. Surv Ophthalmol. 1998 Jan-Feb;42(4):351-4. Department of Ophthalmology, Hadassah University Hospital, Jerusalem, Israel. ABSTRACT: Adjustments of the diopter rings on the...
Early Transient Visual Acuity Loss After Lasik Due To Steroid-Induced Elevation Of Intraocular Pressure
Frucht-Pery J, Landau D, Raiskup F, Orucov F, Strassman E, Blumenthal EZ, Solomon A. J Refract Surg. 2007 Mar;23(3):244-51. Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem,...