Introduction:

Choroidal metastatic lesions are the most common intraocular tumor in adults. The most common primary sites are breast and lung.

Clinical Features:

These lesions are typically creamy, yellow, and elevated. They tend to be bilateral and can also be multifocal (Fig. 23.1.1). Associated serous retinal detachments can cause decreased visual acuity when involving the macula. A history of primary malignancy is helpful in confirming the diagnosis.

OCT Features:

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