Abstract
A 64-year-old woman with metastatic uterine carcinosarcoma presented with bilateral diffuse uveal melanocytic proliferation (BDUMP). Visual acuity was 20/400 and hand motions, respectively. Examination showed multiple subretinal oval grey patches with an inferior exudative retinal detachment (ERD) (Fig A) in the right eye, and a nearly complete ERD in the left. On fluorescein angiogram, multifocal areas of early hyperfluorescence were present (Fig B). OCT revealed hyperreflective areas (white arrow) in outer retina interspersed with regions of subretinal fluid (Fig C, green arrow). Numerous melanocytic lesions in buccal mucosa (Fig D), rarely seen in BDUMP, were observed. A careful review of the literature failed to reveal a previous report of these lesions in association with BDUMP in uterine carcinosarcoma. (Magnified version of Fig A-D is available online at www.aaojournal.org).
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