Open AccessMalignant choroidal melanoma with suspected vitreous seeding - A case report
Author(s) -
Wen-Hsin Cheng,
Cheng-Hsien Chang,
Hsien-Chung Lin,
Ya-Chi Chen,
ChunChieh Wu
Publication year - 2017
Publication title -
taiwan journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.519
H-Index - 9
eISSN - 2211-5072
pISSN - 2211-5056
DOI - 10.4103/tjo.tjo_37_17
Subject(s) - medicine , enucleation , ophthalmology , fundus (uterus) , choroid , retinal detachment , melanoma , vitreous hemorrhage , perforation , retina , retinal , surgery , physics , materials science , cancer research , metallurgy , optics , punching
Retinal perforation with vitreous seeding is an uncommon condition of treatment-naïve choroidal malignant melanoma. We reported a 52-year-old male who had a pigmented tumor protruding from choroid of his right eye. He had only black shadow sensation for 4 months then a rapid deterioration of vision. Fundus examination showed vitreous haze with many pigmented materials. B-scan ultrasonography revealed a mass with low internal reflectivity and vitreous opacity. The eyeball was enucleated and a stage IIIA melanoma was confirmed by the pathologist. No local recurrences or metastases were found during 31-month follow-up. Although vitreous seeding may indicate rapid tumor growth, early enucleation may insure a better prognosis.