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A case of spontaneously regressed uveal melanoma
Author(s) -
AMIRYAN AG,
SAAKYAN S,
TATSKOV RA
Publication year - 2012
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2012.s010.x
Subject(s) - medicine , sclera , ophthalmology , enucleation , intraocular pressure , eyelid , optic nerve , calcification , pupil , surgery , radiology , neuroscience , biology
Purpose To present a case report of spontaneously regressed uveal melanoma. Methods Complex clinical and instrumental diagnostics was done. Results A patient, 62 y.o. complained of right eye vision absence during last 10 years. Several months ago appeared pain in the eye and this was the cause to visit to the ophthalmologist. The investigation revealed the eye subatrophy, deviation about 20º, moderate conjunctiva injection, corneal edema and dystrophy. Anterior chamber was deep. The iris was infiltrated with heterogeneous pigmented mass. Pupil had irregular form and complicated cataract was present. Eye fundus was not able to visualize. Vision OD=0, OS=1,0. The right eye pressure was decreased. CT‐scanning demonstrated the intraocular mass with calcification spreading into the orbit along the optic nerve sheets. Enucleation with orbitotomy was performed. During the operation the defect of sclera with black mass infiltration around the optic nerve was revealed. The pathomorphologic examination confirmed the spindle cell uveal melanoma with massive zones of calcification in intraocular lesion forming extraocular extension. Conclusion All subatrophy eyes must be examined in details to exclude the intraocular tumors.