Cutaneous malignant melanoma metastatic to the eye and orbit is more prevalent than previously thought. Common presenting symptoms vary according to the site of the lesion. Anterior segment metastases usually present as an inflamed eye. Vitreous metastases usually present with symptoms of floaters. Choroidal lesions may present with decreased visual acuity, and orbital metastases present with pain and proptosis. This paper describes the signs and symptoms of cutaneous malignant melanoma metastatic to the eye and orbit. © 1992.