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Case Reports: Unusual presentation of more common disease/injury
Suprachoroidal and vitreous haemorrhage as a presenting feature of metastatic melanoma
  1. Jeeventh Kaur1,
  2. Marko Popovic2,
  3. Hatem Krema2,3 and
  4. Keyvan Koushan2,4
  1. 1 Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
  2. 2 Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada
  3. 3 Ocular Oncology Service, Princess Margaret Cancer Centre, Toronto, Ontario, Canada
  4. 4 Department of Ophthalmology, Mount Sinai Hospital, Toronto, Ontario, Canada
  1. Correspondence to Dr Keyvan Koushan; keyvan.koushan{at}utoronto.ca

Abstract

A man in his 70s presented with right ocular pain, vision loss and temporal headache 4 days after undergoing laser peripheral iridotomy. The patient had lost 10 lbs over the preceding 6 weeks and had a medical history significant for a previously excised melanoma of the left arm. During the course of investigations, the patient was referred to oncology for workup, ultimately leading to a diagnosis of metastatic melanoma. Visceral metastases were identified in the lungs, right anterior fourth rib, left femoral distal diaphysis and medial side of the right globe. The patient decompensated and died shortly after his first radiotherapy treatment.

This is the first published report of suprachoroidal haemorrhage secondary to metastasis from suspected cutaneous melanoma. The case highlights the importance of considering malignancy on the differential diagnosis for a suprachoroidal haemorrhage of unknown aetiology and involving oncology early for workup and treatment.

  • Eye
  • Skin cancer
  • Ophthalmology

https://doi.org/10.1136/bcr-2022-249738

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    Footnotes

    • Contributors KK, HK, MP and JK were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content. KK, HK, MP and JK gave final approval of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests MP received financial support from Fighting Blindness Canada and the PSI Foundation.

    • Provenance and peer review Not commissioned; externally peer reviewed.