Uveal Melanoma Presenting with Conjunctival Metastasis and Chronic Angle-closure Glaucoma

Malignant melanoma of the uveal tract most commonly occurs at the site of the choroid. Metastasis can present as extrascleral extension, as well as in the liver, skin, and lung. We report a case of a patient who underwent two vitrectomies for retinal detachment with subsequent extrascleral extension of a uveal melanoma, possibly from the surgical sclerotomy sites. Management of melanoma can include surgical treatment or radiation. Vitrectomy before irradiation may lead to the spread of disease. Melanoma should be considered as a differential in patients presenting with glaucoma and opaque media preventing fundal examination.