Clinical Takeaways: Ciliary Body Melanoma

  • Uveal melanomas are the most common primary intraocular tumor in adults (90% of these are in the choroid)
  • Ciliary body melanomas often remain asymptomatic until large in size which delays diagnosis, increasing chance of metastasis
  • Prognosis is poor once the tumor has disseminated
  • Changes to iris appearance with associated sentinel vessel, increased cataract, or increase in astigmatism should raise suspicion for ciliary body melanoma