While pathology examination appears to have been performed and not submitted, it is not required for diagnosis of choroidal melanoma. The diagnosis of this kind of melanoma is based primarily on clinical examination by biomicroscopy and indirect ophthalmoscopy. In contrast to the basic principles of oncology, histological or cytologic evaluation is not routinely used in the diagnosis of intraocular neoplastic lesions. Once a clinician has considerable suspicion for uveal melanoma, the decision to treat rests on several subjective and objective features. , reviewed by Sweeney et al.
Berçin Tarlan and Hayyam Kıratlı, Uveal Melanoma: Current Trends in Diagnosis and Management. Turk J OPthalo, 2016 Jun; 46(3), 123-127
NCCN Uveal Melanoma 2021
Divakar Gupta, MD, Adam Sweeney, MD, Constance Fry, MD, Andrew W. Stacey, https://eyewiki.aao.org/Uveal_Melanoma, Accessed 4/11/2021