Exudative Retinal Detachment Following Treatment of Posterior Uveal Melanoma

A 55-year-old male presented to Bascom Palmer with complaints of flashing lights in his right eye and found to have a large choroidal mass. Work-up revealed a likely choroidal melanoma with an associated small inferior exudative retinal detachment. He underwent I-125 plaque radiotherapy with an initial adequate response to radiation with a decrease in tumor thickness, however his exudative retinal detachment continued to worsen following treatment. He presented to the Bascom Palmer Emergency Room with LP vision and a near total exudative retinal detachment. Given the extent of the detachment, a decision was made to proceed with external drainage and PPV/silicone oil placement in the operating room. Post-operatively he was found to have a reattached retina with only a mild persistent exudative retinal detachment. He is being managed on intermittent subtenon’s triamcinolone injections. 

Presentation Date: 03/12/2020

Issue Date: 08/01/2020