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Bilateral ocular metastasis from an occult primary melanoma
  1. D Verhulst1,
  2. P Demaerel1,
  3. B Damato2,
  4. A Leys3
  1. 1Department of Radiology, University Hospitals Gasthuisberg, Leuven, Belgium
  2. 2Ocular Oncology Service, St Paul’s Eye Unit, Royal Liverpool University Hospital, Liverpool, UK
  3. 3Ophthalmology, University Hospitals Gasthuisberg, Leuven, Belgium
  1. Correspondence to: Philippe Demaerel MD, PhD, Department of Radiology, University Hospitals Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium; philippe.demaerel{at}uz.kuleuven.ac.be

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The simultaneous occurrence of bilateral uveal and conjunctival melanocytic tumours is rare, and in the absence of any apparent cutaneous primary melanoma is a difficult diagnostic problem, with the differential diagnosis including multiple primary ocular tumours, metastases, and a paraneoplastic syndrome.1–8

We report the clinical picture and management of a patient with bilateral ocular melanomas, highlighting the value of magnetic resonance imaging (MRI).

Case report

A 44 year old man with a scotoma in his left visual field was found to have tumours superior to the left macula and in the inferior conjunctival fornix of the right eye. Histopathology showed a …

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