Tags

Type your tag names separated by a space and hit enter

Large choroidal melanoma presenting as neovascular glaucoma.
GMS Ophthalmol Cases 2019; 9:Doc19GO

Abstract

Choroidal melanoma is a relatively rare tumour with a poor prognosis, though it is the most common primary malignancy of the eye among adults. Choroidal melanoma has been reported to present as acute angle closure glaucoma, secondary glaucoma, chronic uveitis, cataract, and staphyloma. We report a case of a28-year-old male presenting with features of neovascular glaucoma in the right eye and having initially been treated with anti-glaucoma medications. However, ultrasonography revealed a mushroom-shaped, elevated, solid lesion with low to moderate internal reflectivity and regular internal structure suggestive of choroidal melanoma. Histopathological examination along with the immunohistochemistry studies of the lesion following enucleation of the eye confirmed the diagnosis of malignant choroidal melanoma. We highlight with this case that large choroidal melanoma may rarely present with features of neovascular glaucoma. The etiology of neovascular glaucoma should be investigated carefully and a potentially life-threatening intraocular tumour should be excluded, although it is a rare presentation.

Authors+Show Affiliations

Sagarmatha Choudhary Eye Hospital, Siraha, Nepal.Sagarmatha Choudhary Eye Hospital, Siraha, Nepal.Sagarmatha Choudhary Eye Hospital, Siraha, Nepal.Sagarmatha Choudhary Eye Hospital, Siraha, Nepal.Sagarmatha Choudhary Eye Hospital, Siraha, Nepal.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31293875

Citation

Sahu, Sabin, et al. "Large Choroidal Melanoma Presenting as Neovascular Glaucoma." GMS Ophthalmology Cases, vol. 9, 2019, pp. Doc19.
Sahu S, Bhutia TW, Shrestha V, et al. Large choroidal melanoma presenting as neovascular glaucoma. GMS Ophthalmol Cases. 2019;9:Doc19.
Sahu, S., Bhutia, T. W., Shrestha, V., Singh, S. K., & Puri, L. R. (2019). Large choroidal melanoma presenting as neovascular glaucoma. GMS Ophthalmology Cases, 9, pp. Doc19. doi:10.3205/oc000108.
Sahu S, et al. Large Choroidal Melanoma Presenting as Neovascular Glaucoma. GMS Ophthalmol Cases. 2019;9:Doc19. PubMed PMID: 31293875.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Large choroidal melanoma presenting as neovascular glaucoma. AU - Sahu,Sabin, AU - Bhutia,Tshering Wangchuk, AU - Shrestha,Varun, AU - Singh,Sanjay Kumar, AU - Puri,Lila Raj, Y1 - 2019/05/31/ PY - 2019/7/12/entrez PY - 2019/7/12/pubmed PY - 2019/7/12/medline KW - choroidal melanoma KW - iris neovascularisation KW - neovascular glaucoma SP - Doc19 EP - Doc19 JF - GMS ophthalmology cases JO - GMS Ophthalmol Cases VL - 9 N2 - Choroidal melanoma is a relatively rare tumour with a poor prognosis, though it is the most common primary malignancy of the eye among adults. Choroidal melanoma has been reported to present as acute angle closure glaucoma, secondary glaucoma, chronic uveitis, cataract, and staphyloma. We report a case of a28-year-old male presenting with features of neovascular glaucoma in the right eye and having initially been treated with anti-glaucoma medications. However, ultrasonography revealed a mushroom-shaped, elevated, solid lesion with low to moderate internal reflectivity and regular internal structure suggestive of choroidal melanoma. Histopathological examination along with the immunohistochemistry studies of the lesion following enucleation of the eye confirmed the diagnosis of malignant choroidal melanoma. We highlight with this case that large choroidal melanoma may rarely present with features of neovascular glaucoma. The etiology of neovascular glaucoma should be investigated carefully and a potentially life-threatening intraocular tumour should be excluded, although it is a rare presentation. SN - 2193-1496 UR - https://www.unboundmedicine.com/medline/citation/31293875/Large_choroidal_melanoma_presenting_as_neovascular_glaucoma L2 - https://doi.org/10.3205/oc000108 DB - PRIME DP - Unbound Medicine ER -