Metastatic Choroidal Melanoma Presenting as Neovascular Glaucoma
Uveal melanoma is the most common primary intraocular tumor in adults and can have varying presentations, although it is frequently asymptomatic. One rare presentation of uveal melanoma is neovascular glaucoma (NVG). We present a case of a 20-year-old male who presented with 2 weeks of left eye redn...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2021-09-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/518804 |
| _version_ | 1819130522646872064 |
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| author | Gregory Fliney Osama Ahmed Benjamin Young Christopher Teng Renelle Pointdujour-Lim |
| author_facet | Gregory Fliney Osama Ahmed Benjamin Young Christopher Teng Renelle Pointdujour-Lim |
| author_sort | Gregory Fliney |
| collection | DOAJ |
| description | Uveal melanoma is the most common primary intraocular tumor in adults and can have varying presentations, although it is frequently asymptomatic. One rare presentation of uveal melanoma is neovascular glaucoma (NVG). We present a case of a 20-year-old male who presented with 2 weeks of left eye redness and decreased vision who was found to have NVG. He was referred for evaluation of glaucoma. Fundoscopic and ultrasonographic examination revealed a mushroom-shaped choroidal mass with low internal reflectivity consistent with choroidal melanoma. The patient underwent enucleation, and metastatic workup revealed hepatic metastases. The patient died 18 months after initial diagnosis. This case emphasizes the importance of a complete ophthalmic evaluation in cases presenting with NVG of unclear etiology to exclude the presence of a potentially life-threatening intraocular tumor. |
| first_indexed | 2024-12-22T09:00:57Z |
| format | Article |
| id | doaj.art-ac413f885f884f0e87e228c26a50d74a |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-12-22T09:00:57Z |
| publishDate | 2021-09-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-ac413f885f884f0e87e228c26a50d74a2022-12-21T18:31:43ZengKarger PublishersCase Reports in Ophthalmology1663-26992021-09-0112379179610.1159/000518804518804Metastatic Choroidal Melanoma Presenting as Neovascular GlaucomaGregory Fliney0Osama Ahmed1Benjamin Young2Christopher Teng3Renelle Pointdujour-Lim4Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, CT, USAYale University School of Medicine, New Haven, CT, USADepartment of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, CT, USADepartment of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, CT, USADepartment of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, CT, USAUveal melanoma is the most common primary intraocular tumor in adults and can have varying presentations, although it is frequently asymptomatic. One rare presentation of uveal melanoma is neovascular glaucoma (NVG). We present a case of a 20-year-old male who presented with 2 weeks of left eye redness and decreased vision who was found to have NVG. He was referred for evaluation of glaucoma. Fundoscopic and ultrasonographic examination revealed a mushroom-shaped choroidal mass with low internal reflectivity consistent with choroidal melanoma. The patient underwent enucleation, and metastatic workup revealed hepatic metastases. The patient died 18 months after initial diagnosis. This case emphasizes the importance of a complete ophthalmic evaluation in cases presenting with NVG of unclear etiology to exclude the presence of a potentially life-threatening intraocular tumor.https://www.karger.com/Article/FullText/518804neovascular glaucomauveal melanomacase report |
| spellingShingle | Gregory Fliney Osama Ahmed Benjamin Young Christopher Teng Renelle Pointdujour-Lim Metastatic Choroidal Melanoma Presenting as Neovascular Glaucoma Case Reports in Ophthalmology neovascular glaucoma uveal melanoma case report |
| title | Metastatic Choroidal Melanoma Presenting as Neovascular Glaucoma |
| title_full | Metastatic Choroidal Melanoma Presenting as Neovascular Glaucoma |
| title_fullStr | Metastatic Choroidal Melanoma Presenting as Neovascular Glaucoma |
| title_full_unstemmed | Metastatic Choroidal Melanoma Presenting as Neovascular Glaucoma |
| title_short | Metastatic Choroidal Melanoma Presenting as Neovascular Glaucoma |
| title_sort | metastatic choroidal melanoma presenting as neovascular glaucoma |
| topic | neovascular glaucoma uveal melanoma case report |
| url | https://www.karger.com/Article/FullText/518804 |
| work_keys_str_mv | AT gregoryfliney metastaticchoroidalmelanomapresentingasneovascularglaucoma AT osamaahmed metastaticchoroidalmelanomapresentingasneovascularglaucoma AT benjaminyoung metastaticchoroidalmelanomapresentingasneovascularglaucoma AT christopherteng metastaticchoroidalmelanomapresentingasneovascularglaucoma AT renellepointdujourlim metastaticchoroidalmelanomapresentingasneovascularglaucoma |