Cataract Obscuring a Large Primary Choroidal Melanoma and Associated Exudative Retinal Detachment in the Left Eye: A Case Report

Efthalia Ntora, Dimitrios Stefanos Nanas, Nikolaos Dragoumis, Stefanos Maloutas, Panagiotis Oikonomidis


Choroidal melanoma is the most common primary malignant intraocular tumor that rarely is left undiagnosed. We report a case of a lately detected choroidal melanoma associated with exudative retinal detachment and severe visual loss in the affected eye. The patient was referred to our clinic with visual acuity in the right eye 6/6 while in the left eye was limited to light perception. Ophthalmic examination showed a large pigmented choroidal tumoral mass occupying most of the vitreous cavity and associated exudative retinal detachment. Ultrasonography confirmed a dome-shaped tumor with internal homogeneity, while anterior choroid, ciliary body and angle were found with no invasion. The fellow eye was examined thoroughly and no lesions were detected. Further clinical investigation for metastasis was negative. Negligence of the symptoms, gradual evolution of the tumor and late referral resulted in irreversible loss of vision. The patient had no other systemic pathology and was advised for enucleation in the left eye and follow-up. Choroidal melanoma is a serious malignancy that could threaten the patients life and requires early detection and treatment. In large lesions enucleation is the treatment of choice.

J Med Cases. 2015;6(1):10-13


Choroidal melanoma; Exudative retinal detachment; Enucleation

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics


World Journal of Oncology

Gastroenterology Research

Journal of Hematology


Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity


Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research


Journal of Neurology Research

International Journal of Clinical Pediatrics



Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website:   editorial contact:
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.