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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).
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 …