Dr.Jitender Kumar, K13827
We present a case of a 45year old male who presented to the OPD with proptosis of right eye which was painful and gradually progressive. The patient was PL negative in the right eye. There was corneal melting due to exposure with severe conjunctival chemosis. The patient had undergone retinal detachment surgery twice in the right eye 3 years back at some private hospital and there were no records available. MRI revealed hemorrhage, retinal detachment and a heterogeneously hyperintense lesion in the right eye extending into the intraconal space. A diagnosis of choroidal melanoma with intraorbital extension was made. A full body PET scan was surprisingly normal. The patient was advised total exenteration. This case shows the importance of proper preoperative investigations in every case of retinal detachment. The patient had been operated for retinal detachment twice before being diagnosed with choroidal melanoma and this could have cost him his life if there had been any further delay.
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