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Oncology

Khan J, Damato BE.

Royal Liverpool University Hospital, Liverpool, UK.

 Eye 2007;21:595–7.

Editor’s note: This study was undertaken to determine the rate of false-positives among patients referred to an oncology center with suspected choroidal melanoma by general ophthalmologists. Over a 14-week period, 83 patients were referred with suspected malignant posterior segment lesions. Of these, 50 were confirmed, with 10 being diagnosed as choroidal nevus, one as choroidal metastasis, two as circumscribed choroidal hemangioma, and 10 as other conditions. Similarly, most patients referred with suspected metastasis or other diagnosis of solid detachments had been inaccurately diagnosed by general ophthalmologists. Most diagnoses were not confirmed by histopathology and were made by clinical and ultrasound features. To fully understand the level of inaccuracy of the general ophthalmologists, it would be important to know what the accuracy of the specialist ophthalmologist was in making a diagnosis relative to histopathology.

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