Ciliary Body Melanoma

EH is a 61-year-old man followed annually at the Veteran’s Administration Hospital for a mild cataract. Different ophthalmology residents on each examination usually saw him as they rotated through the eye clinic. He came in for his annual exam and the resident noted an injected episcleral vessel on the inferotemporal right globe. The visual acuity was 20/40 in this eye, compatible with a moderate degree of nuclear sclerosis and peripheral cortical opacity. Fundus examination was unremarkable but the periphery could not be well visualized because of the peripheral cataract. The patient was referred to the university hospital for echography.