Bilateral choroidal melanoma a patient with bilateral melanocytosis

Abstract

Abstract Purpose Ocular melanocytosis, is a congenital condition characterized by hyperpigmentation of the episclera and uvea.. There is a clear association between this condition and uveal melanoma in Caucasian populations. We report a case of a patient affect of bilateral ocular malanocytosis whom has recently been diagnosticated of bilateral choroidal melanoma. Methods Interventional Case report Results A 65‐years‐old man affected of bilateral ocular melanocytosis diagnosed of bilateral choroidal melanoma without systemic affection. In his right eye presented a melanotic choroidal mass with orange‐pigment in the surface measuring 10,63 mm in basal diameter and 3,74 mm in height. In the left eye, there was another melanotic choroidal mass with subretinal hemorrhage measuring 12,69 x 8,7 mm. The left eye was treated with (125)I brachytherapy. Conclusion Despite the fact that the uveal melanoma is the most frequent intraocular tumour, a bilateral choroidal melanoma is very uncommon. A few clinical conditions can predispose to or be associated with uveal melanoma, including ocular melanocytosis and oculodermal melanocytosis, neurofibromatosis type I, and familial atypical mole and melanoma syndrome. Patients with ocular melanocytosis and oculodermal melanocytosis sometimes do not have adequate follow‐up, which results in late diagnosis.