Rapidly enlarging choroidal melanoma: perioperative treatment implications.

The purpose of this study was to describe a case of a rapidly enlarging choroidal melanoma that necessitated perioperative adjustment in treatment.Observational case report.A 48-year-old white woman presented with decreased vision and floaters and was found to have a choroidal melanoma in her left eye. After discussion of risks and benefits of treatment, the patient elected radioactive plaque insertion. Intraoperative examination revealed that the choroidal melanoma had increased in height precluding plaque treatment.This case highlights the importance of intraocular examination and an informed consent that provides contingency therapies at the time of surgery.