Malignancy in the blind painful eye--report of two cases and literature review.

Autor: Pereira PR; Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil. patriciarusa@yahoo.com.br, Odashiro AN, Souza Filho JP, Saraiva VS, Camoriano DG, Burnier MN Jr
Jazyk: angličtina
Zdroj: Diagnostic pathology [Diagn Pathol] 2006 Nov 21; Vol. 1, pp. 45. Date of Electronic Publication: 2006 Nov 21.
DOI: 10.1186/1746-1596-1-45
Abstrakt: Background: Few cases of malignant tumors arising in a blind painful eye have previously been described. We described two cases of a blind painful eye containing an unsuspected tumor, which were enucleated to relieve the pain.
Case Presentations: Case 1: A 57 year-old Caucasian man presented with recurrent orbital cellulitis and endophthalmitis in the left eye (OS). The OS was blind and painful and an enucleation was performed showing a uveal melanoma by histopathological exam. Case 2: A 54 year-old Caucasian man with previous history of a rhegmatogenous retinal detachment in his left eye presented a blind painful eye. Enucleation was performed revealing a well-differentiated B-cell lymphoma of uveal tract with extra ocular extension.
Conclusion: In the management of a blind painful eye, it is extremely important to rule out an intraocular malignancy particularly in those patients who have not been followed by an ophthalmologist.
Databáze: MEDLINE