A 58 year old male presented with decreased vision & photophobia along with elevated intraocular pressure. This is the finding on examination. Can you diagnose the condition?

ATYPICAL MANIFESTATIONS OF CHOROIDAL MELANOMA CHOOIDAL MELANOMAS ARE ONE OF THE COMMONEST INTRAOCULAR TUMORS CAN BE BENIGN MALIGNANT PIGMENTED NON PIGMENTED MORE IN WHITES THAN BLACKS ARE 6 PER MILLION IN U S A AND 7.5 PER MILLION IN DENMARK AND OTHER SCANDENAVION COUNTERIES HAVE AN EARLY TENDENCY FOR LIVER METATASIS HOWEVER IF DIAGNOSED AND MANAGED IN TIME ONE CAN PREBENT LIVER METATASIS THEY ARE 80 PERVENT CHOROIDAL 12 PERCENT INVOLVE CILIARY BODY AND 8 PERECENT IRIS DIFFICULT TO DIANOSE DUE TO ATYPICAL MANIFESTATIOS HOWEVER IN MOST OF SITUATIONS PRESENT AS SOLID OR EXUDATIVE RETINAL DETACHMENT ATYPICAL MABIFESTATIONS DEPENT WUPON SITE OF INVOLEMENT 1 ANT TO LENS 2 ANGLE OF FILTERATION INVOLWMENT 3 VITROUS INVOLEMENT 4 SEVERE OCULAR PAIN 4 SOMETIMES VRY RARELY PRESENT AS FATIGABILITY LOSS OF WEIGHT APPETITE AND LOSS OF BLADER CONTROL IF THE TUMOR IS ANT TO LENS PRESENTATION IS BLUREDVISION PARACENTRAL SCOTOMA PAINLESS AND PROGRESSIVE VISUAL FILD LOSS IF ANGLE OF FILTERATION IS INVOLVED PRESENTATION IS A A GLUCOMA A C GLAUCOMA SEC GLAUCOMA OCULAR HYPERTENSION IF VITROUS PRESENTATATIONS CAN BE VITROUS FLOATERS

BRIEF REVIEW ON THE REFRENCES ASSOCIATED WITH CHOROIDAL MELANOMA IN INSTITUTE OF OPHTHALMOLOGY UNIVERSITY OF LONDON A PATIENT OF CHROIDAL MELANOMA PRESENTED WITH A C GLAUCOMA DID NOT RESPOND TO USUAL ANTIGLAUCOMA MEDICATION VISION IN THE UNAIDED EYE WAS 6 18 M R I BRAIN REVEALED CHOROIDAL MELAMNOMA SO ENUCLEATION WAS DONE 2 IN BASCOM PALMER INSTITUTE OF OPHTHALMOLOGY UNIVERITY OF MIAMI FORIDA 2 PATIENTS OF CH MELANOMA PRESENTED WITH AA C GLAUCMA ONE PAATIENT WAS PUT ON ANTI GLAUCOMA TREATNENT LATER A LASER IRIDOTOMY WAS DONE OTHER PATIENT HAD HAZY MEDIA MAKING THE DETAILS OF POST SEGMENT DIFICULT TO BE VISUALISED GIVING A STRONG EVIDENCE OF OCUT INTRA OCULAR MELANOMA B SCAN ULTRASOUND PRESENTED SOLID DETACHMENT AND M F R I SCAN CNFERMED RADIOLOGICAL EVIDENCE OF CH MELANOMA SO ENUCLEATION WAS DONE SOMETIMES CH MELANOMA MAY PRESENT AS SEC GLAUCOMA IN INSTTUTE OF OPHTHALMOLOGY AND PATHOLOGY PUBLISHED IN SAUDI MEDICAL LOURNAL A PATIENT OF CH MELANOMA PRESENTED WITH SEC GLAUCOA WITH IOP OF MORE THAN 56 MMHG NOT RESPOMDING TO TREATMENT M R I CONFERMED C H MELANOMA SO ENUCLEAION WAS DONE 3 MALIGNANT MELANOMA OF CILIARY BODY MAY PRESENT AS OCULAR HYPERTENSION OR CH UVEITS IT IS SOME WHAR REFRACTIVE TO TREATMENT

BRIEF REVIEW ON THE ATYPICAL PRESENTATIONS OF CHORIODAL MELANOMA IF THE TUMOR IS ANT TO LENS THE PRESENTATIONS CAN BE BLURED VISION PROGRESSIVE AND PAINLESS VISUAL FIELD LOSS PARACENTRAL SCOTOMA 2 IF THE TUMOR INVOLVES ANGLE OF FILTERATION THE PRESENTATIONS CAN BE A C GLAUCOMA A A C GLAUCOMA SEC GLAUCOMA OCULAR HYPERTENSION SOMETIMES CHRONIC UVEITS 3 IF VITROUS IS INVOLVED PRESENTATIONS CAN BE VITROUS FLOAERS 4 SOMETIMES SEVERE OCULAR PAIN MAY BE THE ONLY PRESENTATION 5 VERY VERY RARELY LOSS OF WEIGHT APETITE FATIGIBILITY AND LOSS OF BLADER CONTROL MAY BE THE ONLY PRESENTATION

SOME OF THE REFRENCES REGRDING CHOROIDAL MELANOMA PRESETING AS A CASE OF A C GLAUCMA 1 IN UNERSITY OF MANCHESTER LONDON DEPT OF OPHTHALMOLOGY A PT OF CHROIDAL MELANOMA PRESENTED AS A CASE OF A C G DID NOT RESPND TO ANTI GLAUCOMA MEDICATION THE VISION IN OTHER EYE UNAIDED WAS 6 18 MRIBRAIN WAS DNE IT REVEALED CHROIDAL MELANOMA SO ENUCLEATION WAS DONE 2 IN BASCOM PALMER INSTI GLAUCOMA ONE PT WAS PUT ON ANTIGLAUCOMATUTE OF OPHTHALMOLOGY UNIVCERSITY OF FLORIDA AND MIAMI 2 PATIENTS OF CHOROIDAL MELANOMA PRESENTED AS AAC GLAUCOMA ONE PT WAS UT ON ANTIGLAOMA MEDICATION AND LASE IRIDOTOMY WAS DONE LATER THE OTHERPATIENT HAD OPAQUE MEDIA GIVING A STRNG IMPRESSION OF OCULT INTRAORBITAL MELANOMA B SCAN REVEALED SOLID RETINAL DETACHMANT AND M R I BRAIN CONFERMED MELANOMA SO ENUCLEATION WAS DONE SMETIMES CHORIDAL MELANOMA CAN PRESENT AS SEC GLAUCOMA IN DEPT OF OPHTHALMOLOGY AND PATHOLOGY UNIVERSITY OF CAIRO A PT OF CHRIODAL MELANOMA PRESENTED AS SEC GLAUCOMA WITH IOP OF 58MM HG DID NOT RESPOND TO TREATMENT M R I RAIN REVEALED CHOROIDAL MELANOMA SO ENUCLEATION WAS DONE THS WAS PBLISHED IN SAUDI MEDICAL JUORNAL SOMETIMES MALIGNANT MELANOMA OF CILARY BODY YIEDING POOR RESULTS MAY PRESENT AS OCULAR HYPERTENSION OF CH UVEITS WE HAVE VETEX VARICES IT IS A VERY BENIGN CONDITION AND DISAPPEARS