The patient was informed that the enlarging tumor was likely to cause further vision loss secondary to vitreal seeding, retinal detachment, surface-wrinkling retinopathy, and vitreous hemorrhage. The options of diagnostic fine-needle aspiration biopsy, cryotherapy, irradiation, and tumor removal were discussed, and the patient elected to have tumor removal. After prophylactic laser photocoagulation posterior to the mass, the tumor was removed by a modified eye-wall resection.21 Postoperatively, the patient developed peripheral hemorrhagic retinal detachment and underwent pars plana vitrectomy, air/fluid exchange, vitreous instillation of sulfur hexafluoride gas, and cryotherapy. In February 2000, visual acuity was 20/400, and the retina was flat. There was pigment mottling in the fovea, and the area of the original tumor appeared as a flat yellow scar.