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Symptoms
Choroidal melanomas are often asymptomatic, particularly in the early stages. Visual symptoms of floaters or flashing lights in the presence of a pigmented lesion on fundoscopy are suggestive of malignancy. Depending on the location and invasiveness of the tumour, progressive growth and fluid leakage may result in decreased visual acuity or visual field defects. Ocular pain is generally a late symptom resulting from glaucoma or inflammation. Extraocular extension may produce proptosis or a visible tumour mass.
Patients with choroidal melanoma may describe a past history of melanoma at other sites, or systemic symptoms (including bone or abdominal pain, anorexia or weight loss) suggestive of metastatic disease.
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