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...
Main Authors: | , , , , |
---|---|
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 |
_version_ | 1811269156465541120 |
---|---|
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 |
first_indexed | 2024-04-12T21:37:06Z |
format | Article |
id | doaj.art-b3bd6c42b4294462953e8ba5fe991650 |
institution | Directory Open Access Journal |
issn | 2451-9936 |
language | English |
last_indexed | 2024-04-12T21:37:06Z |
publishDate | 2019-12-01 |
publisher | Elsevier |
record_format | Article |
series | American Journal of Ophthalmology Case Reports |
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 |
work_keys_str_mv | AT alexalli necroticuvealmelanomapresentingasorbitalcellulitiswithintraocularhemorrhageacasereport AT juliaykang necroticuvealmelanomapresentingasorbitalcellulitiswithintraocularhemorrhageacasereport AT duncaneberry necroticuvealmelanomapresentingasorbitalcellulitiswithintraocularhemorrhageacasereport AT krishnabpatel necroticuvealmelanomapresentingasorbitalcellulitiswithintraocularhemorrhageacasereport AT andrewmhendrick necroticuvealmelanomapresentingasorbitalcellulitiswithintraocularhemorrhageacasereport |