DR. MOUNICA KAKUTURU

DR. RAJALINGAM VAIRAGYAM

To report a case of Choroidal Melanoma which is an

incidental finding on routine examination. A 43 Year Male

presented with decrease in vision in [RE] since 2 months which was

insidious in onset and gradually progressive. [BE] Anterior segment was

Normal. [RE] Fundus shows large mass like lesion in the posterior pole

obscuring disc and fovea. [LE] Fundus was Normal. [RE] B Scan shows

dome shaped high reflective choroidal lesion at disc and macula with

surrounding Retinal Detachment around the lesion. CT scan of the orbit

shows well defined high density lesion in [RE] along posterior surface of

globe at the level of Optic nerve head. This case was provisionally

diagnosed as [RE] Choroidal Melanoma and was advised whole body

PET CT Scan to look for intra ocular and distant metastasis. PET CT

showed a mass lesion confined within Right Eyeball with no

Extraorbital extension and no disant metastasis. Patient was

referred to Radiation Oncologist for futher management.