What are the signs and symptoms of choroidal melanoma?

Updated: Feb 18, 2020
  • Author: Enrique Garcia-Valenzuela, MD, PhD; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Choroidal melanomas remain asymptomatic for prolonged periods of time; they may be found incidentally during ophthalmoscopy. In general, the more anterior their origin, the longer the delay of any symptoms. Choroidal melanoma may present with the following symptoms:

  • Blurred visual acuity

  • Paracentral scotoma

  • Painless and progressive visual field loss

  • Floaters

  • Severe ocular pain

  • Weight loss, marked fatigue, cough, or change in bowel or bladder habits (suggests primary nonocular malignancy with choroidal metastasis)

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