Vitrectomy for Metastatic Cutaneous Melanoma to the Vitreous

In this surgical video, Dr. Jay Sridhar performs a vitrectomy in a patient with metastatic cutaneous melanoma to the vitreous with endovascular tumor infiltration. The patient, who had a history of cutaneous melanoma in the earlobe, presented with persistent vitreous hemorrhage. During the vitrectomy, Dr. Sridhar found dense preretinal pigmented membranes and cell clumps around the optic nerve and extending outward. The major vessels were found to be infiltrated with pigment, and a nasal choroidal lesion was seen on widefield viewing. Pathology of the vitreous cassette matched the patient's previous sample, and confirmed the diagnosis of cutaneous melanoma to the vitreous.

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