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A 77-year-old woman complaining of floaters in the right eye was referred to the Department of Ophthalmic Oncology, Cole Eye Institute, Cleveland Clinic for further evaluation of a ciliary body mass in the right eye found by her general ophthalmologist. Past medical or ocular history was negative.
The visual acuity was of 6/12 in the right eye and 6/9 in the left eye. The left eye was normal. In the right eye, external examination did not reveal sentinel vessels. Anterior segment examination showed a mild sectoral cataract superonasally. In addition, there was pigment deposition around the posterior capsule of the lens and dispersed pigment in the anterior vitreous (figure 1A). Fundus examination revealed a dome-shaped ciliary body mass between 1- and 2-o'clock positions. The tumour was better visualized by gonioscopy and was black in colour with a lobulated surface (figure 1B). Anterior extension of the ciliary body mass into the angle and pigment deposition in the angle inferiorly were apparent (figure 1C). B-scan ultrasonography confirmed the presence of a 5×4×5 mm ciliary body mass with high …