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Uveal melanoma presenting as cataract and staphyloma.

Khetan V, Gupta K, Mohan ER, Gopal L - Indian J Ophthalmol (2009 May-Jun)

Bottom Line: The left eye was blind for six months.The ultrasound of the eye showed a large mass filling the superior, nasal and inferonasal vitreous cavity with high surface reflectivity and low to moderate internal reflectivity.Magnetic resonance imaging (MRI) confirmed the diagnosis of choroidal melanoma.

View Article: PubMed Central - PubMed

Affiliation: Department of Vitreoretina and Ocular Oncology, Medical Research Foundation, Sankara Nethralaya, Chennai, India. drkhetan@yahoo.com

ABSTRACT
Blind eyes can harbor a choroidal melanoma. We report a case of uveal melanoma presenting as staphyloma and complicated cataract in a 45-year-old female. The left eye was blind for six months. She underwent comprehensive ocular examination but fundus examination was precluded due to total cataract. The ultrasound of the eye showed a large mass filling the superior, nasal and inferonasal vitreous cavity with high surface reflectivity and low to moderate internal reflectivity. Magnetic resonance imaging (MRI) confirmed the diagnosis of choroidal melanoma. The patient underwent extended enucleation and histopathology was consistent with uveal melanoma.

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The ultrasonographic findings
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Figure 0003: The ultrasonographic findings

Mentions: The ultrasound examination of the left eye showed a large mass filling the superior, nasal and inferonasal vitreous cavity with high surface reflectivity and low to moderate internal reflectivity. The mass was extending posteriorly and involving the optic nerve head. Secondary retinal detachment was noted over the mass [Fig. 3]. It was however, inconclusive for melanoma.


Uveal melanoma presenting as cataract and staphyloma.

Khetan V, Gupta K, Mohan ER, Gopal L - Indian J Ophthalmol (2009 May-Jun)

The ultrasonographic findings
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2683430&req=5

Figure 0003: The ultrasonographic findings
Mentions: The ultrasound examination of the left eye showed a large mass filling the superior, nasal and inferonasal vitreous cavity with high surface reflectivity and low to moderate internal reflectivity. The mass was extending posteriorly and involving the optic nerve head. Secondary retinal detachment was noted over the mass [Fig. 3]. It was however, inconclusive for melanoma.

Bottom Line: The left eye was blind for six months.The ultrasound of the eye showed a large mass filling the superior, nasal and inferonasal vitreous cavity with high surface reflectivity and low to moderate internal reflectivity.Magnetic resonance imaging (MRI) confirmed the diagnosis of choroidal melanoma.

View Article: PubMed Central - PubMed

Affiliation: Department of Vitreoretina and Ocular Oncology, Medical Research Foundation, Sankara Nethralaya, Chennai, India. drkhetan@yahoo.com

ABSTRACT
Blind eyes can harbor a choroidal melanoma. We report a case of uveal melanoma presenting as staphyloma and complicated cataract in a 45-year-old female. The left eye was blind for six months. She underwent comprehensive ocular examination but fundus examination was precluded due to total cataract. The ultrasound of the eye showed a large mass filling the superior, nasal and inferonasal vitreous cavity with high surface reflectivity and low to moderate internal reflectivity. Magnetic resonance imaging (MRI) confirmed the diagnosis of choroidal melanoma. The patient underwent extended enucleation and histopathology was consistent with uveal melanoma.

Show MeSH
Related in: MedlinePlus