Choroidal melanoma is the most common primary malignant tumour of the adult eye. Metastatic spread occurs years after curative treatment. The main site is liver metastases, hence the importance of long-term surveillance. We report on a patient who was diagnosed late 4 years after curative treatment, at the age of 53 years, and whose reason for consultation was typical hepatic colic, hence the need for long-term surveillance for secondary locations, specifically liver metastases.