Case Study 22 Choroidal Melanoma

  • Roger P. Harrie
  • Cynthia J. Kendall


JC is a 60-year-old man who presented to his ophthalmologist with the complaint of recently decreased vision in his right eye. Examination with the ophthalmoscope showed a swollen optic nerve head with some engorgement of the retinal vessels consistent with a central retinal vein occlusion. Echography was performed, and the optic nerve was found to be thickened on A-scan examination with a moderate degree of fluid within the nerve sheath (Fig. 1). The examiner approached the patient systematically and scanned the opposite eye and incidentally found a peripheral choroidal tumor that was highly consistent with a malignant melanoma (Fig. 2).

Supplementary material

Examination techniques (WMV 458 MB)

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Roger P. Harrie
    • 1
  • Cynthia J. Kendall
    • 2
  1. 1.Moran Eye CenterUniversity of UtahSalt Lake CityUSA
  2. 2.SacramentoUSA

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