Purpose: To report a patient who presented with photopsias, night blindness, exudative retinal detachments, and melanoma-associated retinopathy in her right eye 23 years after the left eye was enucleated for a choroidal melanoma.
Methods: Assessment of fundus findings, fluorescein angiograms, and electroretinograms.
Results: The patient had recurrent exudative detachments of the macula in her right eye and electroretinogram responses consistent with the diagnosis of melanoma-associated retinopathy. The abdominal computed tomography (CT) scan was negative, but 13 months later, CT scanning revealed many masses in her liver. Fine-needle biopsy confirmed the diagnosis of metastatic melanoma.
Conclusion: To our knowledge, this is the first report of melanoma-associated retinopathy in a patient with a previous choroidal melanoma.