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¹M.D., Bingol State Hospital Eye Clinic, Bingol/TURKEY
²M.D., Nigde State Hospital Eye Clinic, Nigde/TURKEY We present here a case of bilateral choroidal melanoma protruding from perforated central corneal zones. A86-year old female presented to our emergency department twice with masses protruding from her eyes throughout the corneal zones. These lesions were massively pigmented with punctate hemorrhages. Computed tomography scans showed that lesions filled the globes completely,extending anteriorly, destructing cornal tissues and protruding out. Abdominal CT revealed liver metastasis. She did not accept any treatment. The most common primary malignant intraocular tumor in adult is uveal melanoma. Choroidal melanomas remain asymptomatic for prolonged periods of time; on a routine outpatient examination tumors are detected incidentally. If the patient is unaware of vision loss or neglects this, choroidal melanomas may grow and show exaggerated presentation. Early detection is critical to prevent extraocular extension of tumor. Choroidal melanoma causes death secondary to distant metastases. Keywords : Choroidal melanoma, corneal perforation