Choroidal Metastasis

It is important to have a high index of suspicion for choroidal metastases as this may be first manifestation of systemic malignancy. Thus, the timely diagnosis of primary malignancy may help in preventing the systemic mortality. The diagnosis of uveal metastasis is mainly clinical, supported with various imaging modalities such as ultrasound B scan and other ancillary investigations including fluorescein angiography. Rarely, fine needle aspiration maybe required to confirm the diagnosis. Choroidal metastases may also present in patients with known systemic disease. Supplemental local therapy may be required to treat such cases.