We report a case of uveal melanoma presenting as complicated cataract in a 65 years-old male. Results: The right eye was blind for 6 months. The patient underwent extended enucleation and histopathology was consistent with uveal melanoma. Conclusion: We present this case in order to provide the medical community a basic reference that would help to make further progress in this rare disease, which remains difficult to treat. Results: There were more women than men (52 % versus 48 %). Metastases developed in 39 % (total group mean follow up of 7.14 year). Mixed tumors were most common overall (43.5 %): for non metastasizing tumors there were 41.1 % mixed, 36.1 % fusiform and 17.2 % epithelioid types. For metastatic tumors there were 46.7 % mixed, 21.5 % epithelioid and 21.5 % fusiform types. The difference between cell type and metastatic development was significant in all but epithelioid compared with mixed tumors. Epithelioid type had a relative risk of mortality of 3.51 and mixed had 2.18 compared to fusiform cell type. Conclusion: Our patients were younger, with larger tumors and different histological proportions from those of the Collaborative Ocular Melanoma Study. Five year survival times were similar to those for Europe.