title: Lesson of the month 1: Seeing snowflakes.
abstract: Melanoma-associated retinopathy is a rare paraneoplastic complication of metastatic cutaneous malignant melanoma. It may present years after the original diagnosis of melanoma. We describe a patient with this condition who presented with persistent visual symptoms.
authors.affiliation: consultant dermatologist and dermatological surgeon, Department of Dermatology, Nottingham NHS Treatment Centre, Nottingham, UK.
authors.forename: Anand
authors.initials: A
authors.lastname: Patel
authors.affiliation: post-CCT fellow in Mohs micrographic surgery, Department of Dermatology, Nottingham NHS Treatment Centre, Nottingham, UK a.aslam@doctors.org.uk.
authors.forename: Arif
authors.initials: A
authors.lastname: Aslam
authors.affiliation: consultant ophthalmologist, Department of Ophthalmology, Queen's Medical Centre, Nottingham, UK.
authors.forename: Gavin
authors.initials: G
authors.lastname: Orr
authors.affiliation: consultant dermatologist and dermatological surgeon, Department of Dermatology, Nottingham NHS Treatment Centre, Nottingham, UK.
authors.forename: William
authors.initials: W
authors.lastname: Perkins
mesh_terms: D003937:Diagnosis, Differential; D004596:Electroretinography; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008545:Melanoma / Q000150:complications* / Q000175:diagnosis / Q000556:secondary; D008875:Middle Aged; D059545:Paraneoplastic Syndromes, Ocular / Q000175:diagnosis* / Q000209:etiology; D019572:Retinal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000556:secondary*; D012878:Skin Neoplasms / Q000150:complications* / Q000473:pathology; D014057:Tomography, X-Ray Computed
keywords: Photopsias; electroretinography; melanoma-associated retinopathy