Choroidal melanomas are one of the commonest intraocular tumours can be benign or malignant pigmented or non pigmented more in whites than blacks prevalence is 6 per million in USA and 7.5 in Denmark and other Scandinavian countries 80 percent are choroidal 12 percent involve ciliary body and 8 percent iris they have an early tendency for liver metastases. However, if diagnosed and treated early one can prevent liver metastases.
They have atypical presentation so at times difficult to diagnose but their main clinical presentation is solid or exudative retinal detachment diagnosed by direct or indirect ophthalmoscopy other diagnostic modalities are a and b scan ultrasound besides CT and MRI scans of bran respectively FFA is also at hand they can present diagnostic dilemma because of their location may be They are at an angle of filtration Anterior to lens Vitreous Sometimes a severe…
