Choroidal Melanoma - Peripheral

This is a color fundus photograph of a 50-year old male referred from his optometrist for a possible mass. The patient was asymptomatic. A moderate- sized pigmented lesion was discovered in the outer periphery. The yellow arrows denote the elevated borders of the mass, inferior and temporally to the macula (blue circle). Although unlikely, the patient was sent for a chest x-ray, as he was a heavy smoker and confirmation was needed that this was not a metastasis from a primary lung cancer. Once metastasis was ruled out insertion of an I125 episcleral plaque for five days was planned.