{"pk":25339,"title":"Primary Choroidal Melanoma in a 30-year-old Woman with Monocular Flashers","subtitle":null,"abstract":"<p><strong>Case Presentation</strong>: An otherwise healthy, 30-year-old female was referred to the emergency department by a local optometrist after having flashers and blurry vision for two weeks. Point-of-<br>care ultrasound revealed partial retinal detachment with underlying mass, and dilated fundoscopic examination suggested hyperpigmented lesions. Ophthalmology was consulted, and the diagnosis of amelanotic choroidal melanoma was confirmed.</p>\n<p><strong>Discussion</strong>: Choroidal melanoma is the most common primary malignant tumor in the eye, but its diagnosis is often delayed due to non-specific symptoms. Early identification is crucial given<br>relatively high rates of metastasis. This case highlights how a tentative diagnosis, made using point-of-care ultrasound and funduscopic examination, can drive timely referral to ophthalmology.</p>","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Choroidal melanoma"},{"word":"flashers"},{"word":"malignancy"},{"word":"Point of Care Ultrasound"},{"word":"uveal"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/59h773bh","frozenauthors":[{"first_name":"Adiba","middle_name":"","last_name":"Matin","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota","department":""},{"first_name":"Jacob","middle_name":"A","last_name":"Klinger","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota","department":""},{"first_name":"Timothy","middle_name":"","last_name":"Xu","name_suffix":"","institution":"Mayo Clinic, Department of Ophthalmology, Rochester, Minnesota","department":""},{"first_name":"James","middle_name":"L.","last_name":"Homme","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota","department":""}],"date_submitted":"2024-07-03T07:27:33.909000Z","date_accepted":"2024-12-06T08:55:36.658000Z","date_published":"2025-09-05T18:45:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/25339/galley/40159/download/"}]}