Figure 1: A 55-year-old woman with sympathetic ophthalmia initially presented as an orbital pseudotumor and radiation-induced scleral necrosis after Gamma Knife radiotherapy for choroidal melanoma. Initial presentation of the choroidal melanoma as shown in (a) B-scan ultrasonography and (b) T1-weighted contrast-enhanced magnetic resonance imaging (arrow: the lesion of the choroidal melanoma; arrowhead: serous retinal detachment). (c) A dark, pigmented, and protrusive mass was seen over the right eye sclera 5 years after Gamma Knife radiotherapy for the choroidal melanoma (arrow). (d) Anterior chamber inflammation in the left eye abruptly occurred 1 month after appearance of the right scleral mass