TD is a 52-year-old man who was seen for a routine eye exam by his optometrist and found to have a lightly pigmented fundus lesion near the nasal equator of his left eye. It was assumed to be a melanoma and the patient was so informed. He was referred to a retinal specialist for the initiation of therapy. The retinologist agreed that it was most likely a choroidal melanoma, but before treatment was begun a fluorescein angiogram was performed and the man was sent for echographic examination.
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