1. History
  2. Exam
  3. Photos
  4. Diagnosis
  5. Teaching Points

Case 140 Teaching Points

  • Choroidal melanomas that have extended through Bruch’s membrane can present with subretinal hemorrhages
  • Diagnosis by clinical appearance and  ultrasound (low to medium internal reflectivity). No biopsy required as low rate of false positives (0.48%).


The Collaborative Ocular Melanoma Study Group. Accuracy of diagnosis of choroidal melanomas in the Collaborative Ocular Melanoma Study, COMS Report No A. Arch Ophthalmol 1990;108:1268-1273.

Kivelä T, Eskelin S, Mäkitie T, Summanen P. Exudative retinal detachment from malignant uveal melanoma: predictors and prognostic significance. Invest Ophthalmol Vis Sci 2001;42:2085-2093.

Last Modified: Monday, 29-Sep-2008 14:40:11 EDT