This is a patient with uveal melanoma treated with a radiation plaque therapy 8 years ago.
Widefield fundus autofluorescence helps us image these clinically subtle RPE findings better than ever before.
Learning Points:
When active, these lesions can chronically leak causing disruption in the RPE with a “gutter”. Gutters are commonly seen in pathology with chronic leakage, including central serous retinopathy and overlying choroidal hemangiomas, choroidal nevi and uveal melanoma.
