Sir,

Uveal melanoma is the commonest primary intraocular malignancy with an incidence of approximately 5–7 per million per year in the United States and Western Europe.1,2 The tumour may be asymptomatic, remaining undetected unless ophthalmoscopy is performed or it may give rise to symptoms due to its location or secondary retinal effects like exudative detachment. It has been long known that a phthisical eye may harbour an occult malignant melanoma, though very few such cases have been reported. Similarly, massive retinal gliosis is an uncommon finding in such eyes. We present a case in which a small uveal melanoma and extensive retinal gliosis were discovered in an eye enucleated for longstanding phthisis. This case re-emphasises the importance of subjecting all enucleated eyes to histopathological examination, the result of which may influence the further clinical management.

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