This patient has an uncommon pancreatic choroidal metastasis. The lesion is clinically amelanotic with a more central area of increased pigmentation but is much
larger on fundus autofluorescence.
The OCT shows marked choroidal thickening with some subretinal fluid. Fluoroscein angiography (FA) shows no leakage with blockage from the central hyperpigmentation and fainter surrounding blockage from the tumor itself.
Learning Points:
Although uveal melanoma is the most common primary intraocular malignancy, metastatic choroidal tumors are the most common intraocular malignancies.
Lung and breast cancer are the most common sources.
