DR. NAVNEET CHHABDA

DR. SMITA SINGH, DR. BHAGYASHREE WAINGANKAR

Abstract

Background:Choroidal melanoma is a rare tumour in the Indian population and is often seen rarely in young age group.

A 39 year old female presented with gradually progressive painful diminution vision in right eye since 4 months.VA was PL+ PR inaccurate,multiple bluish lesions in superotemporal quadrant of sclera,fine keratic precipitates on cornea,altered fundal glow and hazy media.Ultrasound B scan of RE showed well defined,oval heterogeneously hyperechoic solid lesion arising from temporal side of choroid suggestive of choroidal melanoma.MRI orbit showed well defined moderately enhancing lesion in superotemporal quadrant of right eyeball in chorioretinal plane with extension into vitreous cavity,suggestive of neoplastic activity likely to be choroidal melanoma.It was treated with RE enucleation with implant.Histopathology showed melanocarcinoma arising from choroid.

Conclusion:High index of suspicion with clinical and diagnostic modalities help in managing rare ocular malignancies.