Hemorrhagic choroidal detachment as the presenting sign of uveal melanoma
Purpose: To describe two cases of medium-sized uveal melanoma presenting with hemorrhagic choroidal detachments. Observations: The first case is a 39-year-old man who presented with choroidal hemorrhage and angle closure glaucoma. The second case is a 42-year-old man who presented with choroidal hem...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2451993621001821 |
| _version_ | 1819096318206803968 |
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| author | Yewlin E. Chee Raghu Mudumbai Steven S. Saraf Thellea Leveque Verena S. Grieco Monique A. Mogensen Rebecca A. Yoda Luis F. Gonzalez-Cuyar Andrew W. Stacey |
| author_facet | Yewlin E. Chee Raghu Mudumbai Steven S. Saraf Thellea Leveque Verena S. Grieco Monique A. Mogensen Rebecca A. Yoda Luis F. Gonzalez-Cuyar Andrew W. Stacey |
| author_sort | Yewlin E. Chee |
| collection | DOAJ |
| description | Purpose: To describe two cases of medium-sized uveal melanoma presenting with hemorrhagic choroidal detachments. Observations: The first case is a 39-year-old man who presented with choroidal hemorrhage and angle closure glaucoma. The second case is a 42-year-old man who presented with choroidal hemorrhage and posterior scleritis. Vitrectomy with transvitreous fine needle aspiration biopsy was ultimately required to diagnose malignant uveal melanoma in each case. Conclusions and importance: Intraocular hemorrhage is a rare presenting sign of uveal melanoma. When it does occur, it is typically associated with large tumors. Hemorrhagic choroidal detachments are particularly rare in uveal melanoma, and can limit the diagnostic utility of clinical exam, B-scan ultrasonography, and magnetic resonance imaging. Although it is uncommon, it is important to maintain a high index of suspicion for choroidal melanoma in any patient with unexplained choroidal hemorrhage. |
| first_indexed | 2024-12-21T23:57:17Z |
| format | Article |
| id | doaj.art-02ba6e9a720642a98766d3108ba4bfa4 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-21T23:57:17Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-02ba6e9a720642a98766d3108ba4bfa42022-12-21T18:45:47ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362021-09-0123101173Hemorrhagic choroidal detachment as the presenting sign of uveal melanomaYewlin E. Chee0Raghu Mudumbai1Steven S. Saraf2Thellea Leveque3Verena S. Grieco4Monique A. Mogensen5Rebecca A. Yoda6Luis F. Gonzalez-Cuyar7Andrew W. Stacey8Department of Ophthalmology, University of Washington, Seattle, WA, USADepartment of Ophthalmology, University of Washington, Seattle, WA, USADepartment of Ophthalmology, University of Washington, Seattle, WA, USADepartment of Ophthalmology, University of Washington, Seattle, WA, USADepartment of Pathology, Division of Cytology, University of Washington, Seattle, WA, USADepartment of Radiology, Division of Neuroradiology, University of Washington, Seattle, WA, USADepartment of Pathology, Division of Neuropathology, University of Washington, Seattle, WA, USADepartment of Pathology, Division of Neuropathology, University of Washington, Seattle, WA, USADepartment of Ophthalmology, University of Washington, Seattle, WA, USA; Corresponding author. Department of Ophthalmology, University of Washington, 325 9th Ave, BOX 359608, Seattle, WA, 98104, USA.Purpose: To describe two cases of medium-sized uveal melanoma presenting with hemorrhagic choroidal detachments. Observations: The first case is a 39-year-old man who presented with choroidal hemorrhage and angle closure glaucoma. The second case is a 42-year-old man who presented with choroidal hemorrhage and posterior scleritis. Vitrectomy with transvitreous fine needle aspiration biopsy was ultimately required to diagnose malignant uveal melanoma in each case. Conclusions and importance: Intraocular hemorrhage is a rare presenting sign of uveal melanoma. When it does occur, it is typically associated with large tumors. Hemorrhagic choroidal detachments are particularly rare in uveal melanoma, and can limit the diagnostic utility of clinical exam, B-scan ultrasonography, and magnetic resonance imaging. Although it is uncommon, it is important to maintain a high index of suspicion for choroidal melanoma in any patient with unexplained choroidal hemorrhage.http://www.sciencedirect.com/science/article/pii/S2451993621001821Adult ocular oncologyChoroidal melanomaChoroidal hemorrhageRetinal and vitreous surgery |
| spellingShingle | Yewlin E. Chee Raghu Mudumbai Steven S. Saraf Thellea Leveque Verena S. Grieco Monique A. Mogensen Rebecca A. Yoda Luis F. Gonzalez-Cuyar Andrew W. Stacey Hemorrhagic choroidal detachment as the presenting sign of uveal melanoma American Journal of Ophthalmology Case Reports Adult ocular oncology Choroidal melanoma Choroidal hemorrhage Retinal and vitreous surgery |
| title | Hemorrhagic choroidal detachment as the presenting sign of uveal melanoma |
| title_full | Hemorrhagic choroidal detachment as the presenting sign of uveal melanoma |
| title_fullStr | Hemorrhagic choroidal detachment as the presenting sign of uveal melanoma |
| title_full_unstemmed | Hemorrhagic choroidal detachment as the presenting sign of uveal melanoma |
| title_short | Hemorrhagic choroidal detachment as the presenting sign of uveal melanoma |
| title_sort | hemorrhagic choroidal detachment as the presenting sign of uveal melanoma |
| topic | Adult ocular oncology Choroidal melanoma Choroidal hemorrhage Retinal and vitreous surgery |
| url | http://www.sciencedirect.com/science/article/pii/S2451993621001821 |
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