Lipofuscin-laden macrophage accumulation can occur over benign and malignant choroidal tumors.1 The presence of overlying lipofuscin pigment has been demonstrated with choroidal nevus, choroidal hemangioma, benign reactive lymphoid hyperplasia, intraocular lymphoma, choroidal metastasis, and, most often, choroidal melanoma.2 Lipofuscin pigment typically appears as fine or granular deposits over the surface of a thin choroidal mass. Accretion of lipofuscin layered as sediment is extremely rare. Furthermore, a PubMed search for keywords “lipofuscin,” “sediment,” “orange,” “melanoma,” “nevus,” “choroid,” “uvea,” and “eye” produced no cases of lipofuscin sediment overlying choroidal melanoma and 1 case overlying nevus.3 Herein, we describe a small choroidal melanoma with orange pigment (lipofuscin) sediment.