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Arch Ophthalmol. 1999;117:1558-1559.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We report a rare occurrence of cardiac metastasis from uveal melanoma.

Report of a Case

A 74-year-old woman had decreased vision in the left eye. On examination, she was found to have a pigmented choroidal lesion in the superior fundus that measured 11 x 11 mm at the base and 6.2 mm in height. The diagnosis was a medium-sized choroidal melanoma (Figure 1). The patient entered the Collaborative Ocular Melanoma Study and received sodium iodide I 125 brachytherapy in October 1987. Eight years and 9 months later, the patient complained of dizziness, was examined, and was found to have a left ventricular mass (Figure 2). She underwent an excisional biopsy, but died the following day of a ruptured myocardium. Microscopic examination of the excised tissue revealed pigmented cells invading the myocardium consistent with metastatic choroidal melanoma (Figure 3).

Figure appears in full text version. Figure 1. Left fundus photograph of a medium-sized choroidal melanoma.

Figure appears in full text version. . . . [Full Text of this Article]

Comment
Corresponding author: Daniel M. Albert, MD, MS, Department of Ophthalmology and Visual Sciences, University of Wisconsin–Madison Medical School, F4/336 Clinical Science Center, 600 Highland Ave, Madison, WI 53792-3220 (e-mail: albert@eyesee.ophth.wisc.edu).

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