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Choroidal melanoma in phacomatosis pigmentovascularis cesioflammea
A 56-year-old white male patient was referred for management of a choroidal mass in his left eye. A cutaneous nevus flammeus involving the right side of his face extending to the right side of his neck and upper chest was noticed (Fig. 1A). On questioning, he mentioned that this nevus flammeus was previously treated with several sessions of dye laser. In addition, the eyelid skin showed a blue-grey hue that involved the upper and lower eyelids bilaterally (Fig. 1B, C). Slit-lamp examination revealed bilateral multiple flat, purple-coloured episcleral patches.Knapp–Rønne choroidal melanoma: a clinicopathological report
A 37-year-old white male was evaluated for a melanotic fundus lesion with vitreous floaters diagnosed a month prior. Visual acuity was 20/25 in both eyes, with bilateral normal intraocular pressure and anterior segment examination. Funduscopy of the left eye revealed a preretinal spherical dark brown tumour with a smooth surface with minimal subretinal base visible at its superior border (Fig. 1A). Despite its dark colour, prominent vessels could be detected clinically beneath the tumour surface.Pagetoid spread of sebaceous cell carcinoma to the cornea
Sebaceous cell carcinoma (SebCC) is a malignancy that most commonly presents in the eyelid.1 Pagetoid spread to the conjunctiva has been well documented,1-3 but spread to the cornea is less common.4 We report a 64-year-old female who was diagnosed with pagetoid spread of SebCC to her right cornea. She initially presented with a 3-year history of red eyes and trichiasis. After multiple epilations, she was referred to the oculoplastics service for electrolysis. On examination, her visual acuity was 20/70 in the right eye and counting fingers in the left eye (the vision was limited due to a central stromal scar and a dense cataract).
