A rare case of choroidal melanoma in pregnant Indian female

Abstract

Choroidal melanoma is a rare ocular malignancy in the Asian population but despite its rarity, it is the most common intraocular malignancy. In the Western population, it has been reported in younger men and females of childbearing age, particularly pregnant females. This is the first reported case of choroidal melanoma in pregnant Indian female in India, which reviews the imaging features of choroidal melanoma and emphasizes the need for further study to evaluate the causes of the increasing incidence of pregnancy-associated melanoma (PAM) in Indian females. We present a case of a 29-year-old pregnant female, diagnosed with choroidal melanoma in the right eye during the 7th month of pregnancy. Upon clinical and diagnostic imaging, the choroidal melanoma was treated by enucleation 20 days postpartum and the histopathology examination confirmed a mixed cell type choroidal melanoma. Systemic metastasis work-up was unremarkable both in the mother and the baby.