Necrotic uveal melanoma presenting as orbital cellulitis with intraocular hemorrhage: A case report

Purpose: To report a case of necrotic uveal melanoma presenting as orbital cellulitis with an intraocular hemorrhage. Observations: A 61 year-old non-verbal male presented with a two-week history of right eyelid swelling and erythema unresponsive to antibiotics. In addition to these signs of orbital...

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Main Authors: Alexa L. Li, Julia Y. Kang, Duncan E. Berry, Krishna B. Patel, Andrew M. Hendrick
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:American Journal of Ophthalmology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2451993619302300
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author Alexa L. Li
Julia Y. Kang
Duncan E. Berry
Krishna B. Patel
Andrew M. Hendrick
author_facet Alexa L. Li
Julia Y. Kang
Duncan E. Berry
Krishna B. Patel
Andrew M. Hendrick
author_sort Alexa L. Li
collection DOAJ
description Purpose: To report a case of necrotic uveal melanoma presenting as orbital cellulitis with an intraocular hemorrhage. Observations: A 61 year-old non-verbal male presented with a two-week history of right eyelid swelling and erythema unresponsive to antibiotics. In addition to these signs of orbital cellulitis, he presented with an opaque media precluding fundus visualization. He was later found to have a collar-button shaped mass consistent with uveal melanoma on B scan ultrasonography during an exam under anesthesia. The patient underwent enucleation with histopathology confirming a necrotic uveal melanoma. Conclusion and Importance: This case demonstrates how necrotic uveal melanoma can present as orbital cellulitis and the importance of keeping the diagnosis on the differential. Keywords: Orbital cellulitis, Necrotic uveal melanoma
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spelling doaj.art-b3bd6c42b4294462953e8ba5fe9916502022-12-22T03:15:53ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362019-12-0116Necrotic uveal melanoma presenting as orbital cellulitis with intraocular hemorrhage: A case reportAlexa L. Li0Julia Y. Kang1Duncan E. Berry2Krishna B. Patel3Andrew M. Hendrick4Corresponding author. 1365B Clifton Road, N.E., Suite, BT401A, Atlanta, GA, 30322, USA.; Department of Ophthalmology, Emory University School of Medicine, Atlanta, GA, USADepartment of Ophthalmology, Emory University School of Medicine, Atlanta, GA, USADepartment of Ophthalmology, Emory University School of Medicine, Atlanta, GA, USADepartment of Ophthalmology, Emory University School of Medicine, Atlanta, GA, USADepartment of Ophthalmology, Emory University School of Medicine, Atlanta, GA, USAPurpose: To report a case of necrotic uveal melanoma presenting as orbital cellulitis with an intraocular hemorrhage. Observations: A 61 year-old non-verbal male presented with a two-week history of right eyelid swelling and erythema unresponsive to antibiotics. In addition to these signs of orbital cellulitis, he presented with an opaque media precluding fundus visualization. He was later found to have a collar-button shaped mass consistent with uveal melanoma on B scan ultrasonography during an exam under anesthesia. The patient underwent enucleation with histopathology confirming a necrotic uveal melanoma. Conclusion and Importance: This case demonstrates how necrotic uveal melanoma can present as orbital cellulitis and the importance of keeping the diagnosis on the differential. Keywords: Orbital cellulitis, Necrotic uveal melanomahttp://www.sciencedirect.com/science/article/pii/S2451993619302300
spellingShingle Alexa L. Li
Julia Y. Kang
Duncan E. Berry
Krishna B. Patel
Andrew M. Hendrick
Necrotic uveal melanoma presenting as orbital cellulitis with intraocular hemorrhage: A case report
American Journal of Ophthalmology Case Reports
title Necrotic uveal melanoma presenting as orbital cellulitis with intraocular hemorrhage: A case report
title_full Necrotic uveal melanoma presenting as orbital cellulitis with intraocular hemorrhage: A case report
title_fullStr Necrotic uveal melanoma presenting as orbital cellulitis with intraocular hemorrhage: A case report
title_full_unstemmed Necrotic uveal melanoma presenting as orbital cellulitis with intraocular hemorrhage: A case report
title_short Necrotic uveal melanoma presenting as orbital cellulitis with intraocular hemorrhage: A case report
title_sort necrotic uveal melanoma presenting as orbital cellulitis with intraocular hemorrhage a case report
url http://www.sciencedirect.com/science/article/pii/S2451993619302300
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