Beyond the Eye: A Unique Case of Choroidal Melanoma with Extra-Ocular Extension.

ABSTRACT:

Introduction

Choroidal melanoma, the most common primary intraocular malignancy, can present diagnostic and therapeutic challenges, especially when complicated by unusual features such as extraocular extension and perineural invasion.

Case presentation

We report the case of a 45-year-old Caucasian male who initially presented with left-sided vision loss, hearing deficits, and symptoms resembling retinal detachment. Imaging revealed a hyperreflective vitreous mass, but a definitive diagnosis was delayed due to complex MRI findings, which suggested a haemorrhagic process without clear evidence of malignancy. The patient's symptoms rapidly worsened, leading to left eye enucleation. Histopathology confirmed necrotic choroidal melanoma with extraocular extension, optic nerve head

SUBMITTER: Islam J 

PROVIDER: S-EPMC12659214 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature