DOI: 10.36347/sjmcr.2015.v03i08.018

Pages: 708-710

A 50 year-old gentleman presented with history of seeing white opacity at the central vision of right eye for 1 month duration. His right visual acuity was 5/60 and the right fundus showed presence of a vague mass at the macula. The mass was surrounded by intraretinal hemorrhages and sub retinal exudates. Fundus fluorescein angiography and further work-up was planned but the patient defaulted follow-up. He came back after one year later with complaint of painful red eye of the right eye for two days duration. His right eye vision was getting worst to perception of light. Examination of his right eye revealed features of neovascular glaucoma with hazy cornea, rubeosis iridis and elevated intraocular pressure. B-scan ultrasonography showed a mushroom shaped intraocular mass. Computerized tomography scan of the right orbit revealed an intraocular lesion with no extraocular extension. The right eye was enucleated and the diagnosis of choroidal melanoma was confirmed by histopathological examination.