Unusual presentation of a choroidal melanoma
| Autor: | Kar Yen Phoong, Sunila Jain |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pars plana
Male Uveal Neoplasms medicine.medical_specialty genetic structures Anterior Chamber medicine.medical_treatment Enucleation Vitrectomy Case Report 01 natural sciences Metastasis 03 medical and health sciences 0302 clinical medicine medicine Humans 0101 mathematics Melanoma business.industry Choroid Neoplasms 010102 general mathematics Liver Scan General Medicine Bleed Middle Aged medicine.disease eye diseases Surgery medicine.anatomical_structure 030221 ophthalmology & optometry sense organs Presentation (obstetrics) business Spindle Cell Melanoma |
| Zdroj: | BMJ Case Rep |
| Popis: | A 49-year-old gentleman presented with a 1-day history of painful deterioration of vision in his right eye. He was lifting heavy weights just before this visual loss. On examination, his vision was perception of light in that eye, with a medically uncontrollable high intraocular pressure and hyphaema almost completely filling his anterior chamber. An ultrasound performed suggested a working diagnosis of a Valsalva related ‘eight ball’ bleed. After an anterior chamber washout, he had another episode of bleeding three days later. A pars plana vitrectomy was performed and the sample obtained was sent off to the laboratory, revealing a choroidal melanoma. Following enucleation, the histology confirmed a large necrotic spindle cell melanoma, with a haemorrhagic background. Fortunately, no liver metastasis was found. Since his diagnosis 3 years ago, he continues to be followed up in an artificial eye clinic and has regular liver scans under the care of his oncologist. |
| Databáze: | OpenAIRE |
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