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Figure 1 - slit lamp examination Figure 2a - fundus, right eye Figure 2b - fundus, left eye Figure 3 - B scan Photos courtesy of: Carol L. Shields, M.D. Used with permission. Not to be reproduced.

A 49-year-old white male presented with a history of intermittent treatment with topical steroids and trans-septal steroid injections for anterior/ intermediate / posterior uveitis, for the past 5 years. His best corrected visual acuity was 20/80 and 20/20 in the right and left eye, respectively. The left eye was unremarkable on examination. Anterior segment examination [Fig 1] and fundus examination [Fig 2] was as shown above.

1.	Is there any conjunctival lesion?
	c -- diffuse conjunctival lymphoid infiltration
2.	The fundus lesion is:
	a -- uveal lymphoid infiltration
3.	Treatment would be on the lines of:
	b -- metastatic work up to rule out systemic involvement of the condition

Lymphoid tumor of the conjunctiva is a slightly elevated fleshy pink mass, called a salmon patch.  It usually has a smooth, lobular surface and is located in forniceal or bulbar conjunctiva.  Biopsy is helpful in suspicious cases. 

The fundus shows a diffuse lymphoid infiltration of uveal tissues.  When diffuse, it is a red-orange lesion, usually confused with diffuse choroidal hemangioma.  Detailed indirect ophthalmoscopy helps in its diagnosis, when one notices the loss of choroidal pattern in the affected eye.  Ultrasonography (USG) shows diffuse thickening of choroid with low to medium internal reflectivity, similar to choroidal melanoma.