Marfan Syndrome – Page 24 of 50

Malignant melanoma is the most common neoplastic choroidal tumor and ranges in size from a minimally elevated mass to one that can extend outside of the globe.² The importance of ultrasonography in the detection of tumors is highlighted in a series³ in which eyes with clear media and suspected malignant melanomas were enucleated. In 19% of the patients, the clinical diagnosis proved to be incorrect.

The fundus photograph of a 43-year old man who complained of cloudy vision in the right eye of one week’s duration is shown above. A bullous nasal nonrhegmatogenous retinal detachment was evident in that eye. The cause of the detachment was not clear until ultrasonography was performed.