This 36 year-old man has a history of superficial skin melanoma on his right forearm that was removed at age 21. A few months prior to this video he developed a red eye and was found to have cell and flare and was started on steroids. Two months later on follow-up this mass was noted. He had a decreasing visual acuity with myopic shift. On exam his visual acuity was 20/125 but refracted to 20/25 with -2.25 diopters of sphere. His intraocular pressure was normal at 13 mmHg. On ultrasound this lesion is 10 mm thick. The patient underwent metastatic workup and was found to have lesions in his brain, spleen and liver. He was treated with chemotherapy and radiation.