Choroidal melanoma

Being told that you may have a choroidal melanoma can be unsettling.

Choroidal melanoma is the most common primary cancer arising inside the eye in adults. It develops from pigment-producing cells within the choroid, a layer of tissue beneath the retina at the back of the eye.

Although this is a rare condition, highly specialised treatments are available, and many patients are successfully treated while retaining useful vision in the affected eye.

Early diagnosis, appropriate treatment and ongoing surveillance are important parts of care.

What Is the choroid?

The choroid is a layer of tissue beneath the retina that contains blood vessels and pigment cells.

A choroidal melanoma develops when melanocytes within this layer grow uncontrollably and form a tumour.

Unlike a skin melanoma, a choroidal melanoma develops inside the eye and is not usually related to sun exposure.

What are the symptoms of choroidal melanoma?

Many choroidal melanomas are discovered during a routine eye examination before they cause symptoms.

When symptoms occur, they may include:

  • Blurred or distorted vision

  • Flashes of light

  • New floaters

  • Loss of part of the visual field

  • Reduced vision in one eye

  • A dark spot seen during an eye examination

Occasionally, patients have no symptoms at all.