Uveal Melanoma and Secondary Angle-Closure Crisis: A Case Report and Literature Review

Autor: Tung Thanh Hoang, Tuan Anh Hoang, Peter McCluskey, John Grigg
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Case Reports in Ophthalmology, Vol 12, Iss 2, Pp 476-480 (2021)
Druh dokumentu: article
ISSN: 1663-2699
DOI: 10.1159/000513133
Popis: A 66-years-old Vietnamese healthy female patient presented with prolonged severe right ocular pain and complete vision loss in that eye. Anterior segment assessment including gonioscopy identified angle-closure configuration. A suspected ciliary body melanoma was seen through the pupil. Posterior segment examination revealed a large tumor mass and 360° retinal detachment (kissing configuration). An ultrasound examination was consistent with a uveal tumor. The painful, blind right eye with a tumor mass was enucleated. Histopathology confirmed a type A uveal spindle cell melanoma associated with total serous retinal detachment without evidence of tumor necrosis, epithelioid cells, scleral, or optic nerve infiltration. There was no evidence of metastasis after 1-year of follow-up. It is critically important to differentiate primary and secondary angle closure, especially in cases with life-threatening ocular malignancy as uveal melanoma.
Databáze: Directory of Open Access Journals
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