Melanoma Metastasis to the Vitreous - Original Presentation

Color Fundus photograph of a the right eye, of an 86 year-old woman, presenting from her oncologist for visual disturbances, two months post radiation treatment to the brain. The patient was originally diagnosed with a stage IV melanoma of the left foot in 2006. Since then, the melanoma has metastasized to the brain and lungs. Dilated fundus exam revealed dense vitreous debris, with black, coffee ground like spots throughout the retina. These black spots are small cancerous tumors, another point of metastasis from her primary melanoma. At this date of service, her vision checked was 20/70.