Choroidal Melanoma

TS is a 67-year-old woman who had not had an eye examination for several years and complained of progressively decreasing vision in her left eye for over a year. Clinical examination demonstrated a moderately dense nuclear sclerotic and cortical cataract that hindered adequate visualization of the entire fundus. Cataract surgery was scheduled and biometry was performed. There was some difficulty in obtaining a consistent axial length and because the fundus could not be completely examined she was referred for echography.