Phacomorphic Glaucoma as the First Manifestation of the Choroidal Malignant Melanoma
Journal of Ophthalmic and Optometric Sciences,
Vol. 1 No. 2 (2017),
Purpose: To describe a case of choroidal melanoma with phacomorphic
glaucoma as the first presentation.
Case report: A 63-year-old woman was presented with painful
visual loss of the left eye. Mature cataract, flat anterior chamber and
elevated intraocular pressure were noticed in clinical examination.
B mode ultrasonography and CT-Scan showed a large intraocular
mass. Enucleation was performed and pathological analysis was
compatible with uveal melanoma.
Conclusion: The presence of mature cataract obscures the fundus
view in patients with phacomorphic glaucoma. Complete ultrasonographic
examination or other appropriate imaging techniques should
be performed to detect potential posterior segment pathologies like a
malignant melanoma among these patients.
Keywords: Phacomorphic; Glaucoma; Uveal; Melanoma.
How to Cite
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