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학습 자료 둘러보기 →A new scotoma (dark spot) or progressive visual field defect in one eye is a classic presentation of a growing intraocular mass affecting the retina. This finding warrants immediate evaluation to rule out ocular melanoma.
Differentiate from benign symptoms: Irritation, tearing, eye fatigue with near work, and mild photophobia are typically associated with ocular surface disease or eye strain, not an intraocular tumor. These do not require the same level of urgent intervention.
Any patient reporting a fixed, persistent dark spot or curtain-like shadow in their vision must be triaged for a same-day dilated fundus examination. Delaying diagnosis can lead to irreversible vision loss or metastasis.
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