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Editor,—Uveal melanoma is the most common primary intraocular malignancy in adults. Accurate diagnosis relies upon evaluation by indirect ophthalmoscopy as well as on characteristic features present on ancillary tests such as ultrasonography and angiography. Masquerading lesions can occasionally provide diagnostic challenges. Common simulating lesions include choroidal naevi, metastases, haemangioma, osteoma, CHRPE, and disciform scar.1 We report the case of a patient with a lesion simulating an intraocular melanoma which resulted from the development of an orbital cyst that indented the globe.
A 49 year old white male was referred with a diagnosis of an intraocular melanoma. He complained of progressively decreasing vision in his right eye over the previous 1.5 years. His medical history was …
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