Cutaneous melanoma metastatic to the vitreous cavity.
OBJECTIVE
To report a case of cutaneous melanoma metastatic to the vitreous cavity.


METHODS
Retrospective case report. A 72-year-old white man with a history of cutaneous melanoma but no known distant metastases presented with floaters and decreased vision.


RESULTS
The patient was initially treated for a presumptive diagnosis of ocular toxoplasmosis. After failure to respond to treatment, he underwent diagnostic pars plana vitrectomy. Pathology of the vitreous specimen was suggestive of metastatic melanoma, and systemic workup revealed metastases to the brain.


CONCLUSIONS
In patients with a known history of cutaneous melanoma presenting with ocular inflammation, a high index of suspicion for metastatic disease should be maintained.
From the *Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary; and †Department of Pathology, University of Illinois at Chicago, College of Medicine, Chicago, Illinois.
Shivani
S
Gupta
Michael P
MP
Blair
Amy Y
AY
Lin
Odile
O
David
Howard H
HH
Tessler
Debra A
DA
Goldstein