"Posterior fossa lesion 45 years after ocular trauma"

We describe a patient who developed an isolated brain metastasis four years after his right eye was treated for conjunctival melanoma by excision and local chemotherapy. He had a history of ipsilateral ocular trauma by coal stuff while working in a mining industry. Conjunctival melanoma represents only 1.6% of all non-cutaneous melanoma. Metastasis of this kind of neoplasm to brain is a rare event, especially without evidence of prior or concurrent regional lymph node involvement.