A 54-year-old female was referred to evaluate a peripheral melanotic fundus lesion in the left eye. A month prior, she noticed a temporal field defect in the same eye. Three months before the ocular symptoms, she underwent bowel resection for small intestinal obstruction caused by multiple tumours in the intestinal wall and regional lymph nodes, which are suggestive of hematogenous metastatic disease. Excised masses were pathologically proved to be metastatic melanoma. The patient provided no definite history of a previous primary melanoma; however, she had a curious account of a pigmented lesion appearing in her forearm skin during pregnancy 20 years earlier, for which a biopsy was not performed and that had spontaneously disappeared postpartum.