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Editor,—Most patients with orbital tumours present with proptosis.1 2 It is uncommon for an orbital mass to cause symptoms and signs simulating intraocular disease. We report the case of a patient with an orbital tumour that was initially suspected to be an intraocular tumour.
CASE REPORT
A 71 year old woman noted a photopsia, diplopia, and peripheral scotoma in her left eye. She was evaluated and underwent laser treatment for suspected retinal hole at the margin of a presumed retinal detachment. After non-resolution of the “detachment”, a second ophthalmologist raised the possibility that the fundus lesion was a choroidal melanoma. The patient was then referred to the oncology service for further management. Ocular examination revealed corrected visual …