Young Woman With Eye Pressure

A 36-year-old woman with remote history of localized cutaneous melanoma presented to the emergency department with sensations of right eye pressure and intermittent black spots in the periphery of her vision. Visual acuity in the right eye was 20/25, and in the left it was 20/20. Intraocular pressure was 15 mm Hg in the right eye and 18 mm Hg in the left. Slit lamp examination revealed a pigmented iris mass abutting the cornea at 4 o'clock, measuring 4 mm in width and 1.5 mm in height (Figure 1, left and middle panels).

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