• Choroidal nevi in Caucasians are common with reported frequencies ranging between 1-10% of the population to as high as 30-33% in one study.1
  • Many authorities agree that tumor size (especially thickness) is the most important feature in the differential diagnosis of a nevus from a choroidal melanoma.1
  • Metastatic uveal melanoma is virtually a death sentence2 and timely therapeutic intervention may prevent metastasis and improve the outcome.
  • This week’s case represents a diagnostic challenge because of the size and thickness of the tumor, orange pigment on its surface and failure of multiple previous exams to document any lesion at all.