Aims: The aim of this study was to correlate the ophthalmoscopic and histopathological findings of orange pigment overlying a choroidal metastasis.
Methods: This is a single case report with clinical follow-up and histopathological examination.
Results: Histopathology revealed a choroidal metastasis with subretinal CD68-positive macrophages showing autofluorescent deposits in fluorescence microscopy.
Conclusion: The development of orange pigment is not pathognomonic for choroidal melanoma but may be seen in other lesions such as carcinoma metastasis.
Keywords: Choroidal melanoma; Choroidal metastasis; Orange pigment.