Choroidal melanoma with disc and retinal neovascularization

Area of Science:

• Ophthalmology
• Oncology

Background:

• Malignant melanoma is a rare intraocular tumor.
• Choroidal masses can present with various secondary ocular complications.

Observation:

• A 23-year-old woman presented with a large superior choroidal mass.
• The mass was associated with inferior serous retinal detachment.
• Clinical and angiographic findings included peripheral retinal vascular occlusion and neovascularization.

Findings:

• Histologic examination confirmed the choroidal mass as malignant melanoma.
• The fellow eye was unaffected, suggesting a unilateral process.

Implications:

• Early detection and diagnosis of choroidal melanoma are crucial.
• Understanding the associated vascular complications is important for patient management.
• This case highlights the diverse presentations of intraocular melanoma.