Choroidal melanocytic tumor observed for 41 years before enucleation
T. Gundersen, T. R. Smith, N. Zakov and D. M. Albert
A pigmented choroidal lesion was observed 41 years prior to enucleation.
The patient, with a clinical diagnosis of malignant melanoma in an eye with
good visual function, was followed up for the last 25 years by one of the
authors. Sudden growth of the lesion and loss of vision led to enucleation
and allowed histologic confirmation of the diagnosis of malignant melanoma.
A pigmented iris lesion in the same eye was also present for 25 years and
showed no notable growth under observation. The patient died of metastatic
disease approximately one year after enucleation.
