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  • Parts A, B, and E–H courtesy of Tero Kivelä, MD; part D courtesy of Robert H. Rosa, Jr, MD.
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    Ocular Pathology/Oncology

    Circumscribed choroidal hemangioma. A, Dome-shaped tumor (inferior edge outlined by arrows resembles the surrounding fundus in color. B, Wide-angle fundus photograph in which the eye is illuminated transclerally from one side shows the reddish color of the hemangioma. C, A‑scan ultrasonography shows characteristic high internal reflectivity (arrow). D, Optical coherence tomography shows a very-low-signal intensity lesion (asterisk). ILM = internal limiting membrane; RPE = retinal pigment epithelium. E, Early fluorescein angiogram from the arterial phase shows intratumoral vessels. F, In the late phase of the angiogram, the tumor is hyperfluorescent. G, H, Indocyanine green angiography produces comparable findings. Compare E–H with A (same lesion).