Choroidal Melanoma Causing Contralateral Amaurosis via Orbital Invasion
To report a case of tumor invasion into the ipsilateral orbit/optic chiasm and into the contralateral optic nerve. A 51- year-old male who declared removal of his left eye ten years ago elsewhere, attended to our clinic for swelling of the left eyelids and pain. He was ophthalmologically and radio...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2011-06-01
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| Series: | Türk Oftalmoloji Dergisi |
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| Online Access: | http://www.oftalmoloji.org/article_1360/Choroidal-Melanoma-Causing-Contralateral-Amaurosis-Via-Orbital-Invasion |
| _version_ | 1797914917325504512 |
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| author | Melis Palamar Onay Ayşe Yağcı Taner Akalın |
| author_facet | Melis Palamar Onay Ayşe Yağcı Taner Akalın |
| author_sort | Melis Palamar Onay |
| collection | DOAJ |
| description | To report a case of tumor invasion into the ipsilateral orbit/optic chiasm and into the contralateral optic nerve. A 51-
year-old male who declared removal of his left eye ten years ago elsewhere, attended to our clinic for swelling of the
left eyelids and pain. He was ophthalmologically and radiologically evaluated. A hyperpigmented mass was detected
at the socket conjunctiva of the patient whose eyelids were swollen and hyperemic. Anterior and posterior segments of
the right eye were normal, and the best corrected visual acuity was 10/10. On orbital computed tomography, the left
orbit was found to be filled with mass. No intracranial invasion was detected. Exenteration was performed to the patient
who had no systemic metastasis. Histopathological examination revealed malignant melanoma. Ten months later, the
patient presented with sudden visual loss. Light perception was absent in the right eye. Optic nerve head was pale at
fundus examination. No p100 wave was obtained from the right eye with visual evoked potentials. On orbital
magnetic resonance imaging, a mass invading the optic chiasm and the right optic nerve was evident. When treated
with appropriate methods, choroidal malignant melanoma with no extraocular extension has pretty good prognosis.
When performing enucleation in patients with intraocular tumor suspicion, extra care should be spent not to make any
unnecessary maneuver leading to extraocular spread. In the presence of extraocular dissemination, exenteration should
be performed. (Turk J Ophthalmol 2011; 41: 194-6 |
| first_indexed | 2024-04-10T12:34:41Z |
| format | Article |
| id | doaj.art-ed977a13f96d4c3db1d7eae2793a4b3b |
| institution | Directory Open Access Journal |
| issn | 1300-0659 2147-2661 |
| language | English |
| last_indexed | 2024-04-10T12:34:41Z |
| publishDate | 2011-06-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Oftalmoloji Dergisi |
| spelling | doaj.art-ed977a13f96d4c3db1d7eae2793a4b3b2023-02-15T16:14:46ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612011-06-0141319419610.4274/tjo.41.865800Choroidal Melanoma Causing Contralateral Amaurosis via Orbital InvasionMelis Palamar Onay0Ayşe Yağcı1Taner Akalın2Ege Üniversitesi T›p Fakültesi, Göz Hastal›klar› Anabilim Dal›, ‹zmir, TürkiyeEge Üniversitesi T›p Fakültesi, Göz Hastal›klar› Anabilim Dal›, ‹zmir, TürkiyeEge Üniversitesi T›p Fakültesi, Patoloji Anabilim Dal›, ‹zmir, TürkiyeTo report a case of tumor invasion into the ipsilateral orbit/optic chiasm and into the contralateral optic nerve. A 51- year-old male who declared removal of his left eye ten years ago elsewhere, attended to our clinic for swelling of the left eyelids and pain. He was ophthalmologically and radiologically evaluated. A hyperpigmented mass was detected at the socket conjunctiva of the patient whose eyelids were swollen and hyperemic. Anterior and posterior segments of the right eye were normal, and the best corrected visual acuity was 10/10. On orbital computed tomography, the left orbit was found to be filled with mass. No intracranial invasion was detected. Exenteration was performed to the patient who had no systemic metastasis. Histopathological examination revealed malignant melanoma. Ten months later, the patient presented with sudden visual loss. Light perception was absent in the right eye. Optic nerve head was pale at fundus examination. No p100 wave was obtained from the right eye with visual evoked potentials. On orbital magnetic resonance imaging, a mass invading the optic chiasm and the right optic nerve was evident. When treated with appropriate methods, choroidal malignant melanoma with no extraocular extension has pretty good prognosis. When performing enucleation in patients with intraocular tumor suspicion, extra care should be spent not to make any unnecessary maneuver leading to extraocular spread. In the presence of extraocular dissemination, exenteration should be performed. (Turk J Ophthalmol 2011; 41: 194-6http://www.oftalmoloji.org/article_1360/Choroidal-Melanoma-Causing-Contralateral-Amaurosis-Via-Orbital-InvasionAmaurosisexenterationenucleationchoroidmalignant melanomarecurrenceorbit |
| spellingShingle | Melis Palamar Onay Ayşe Yağcı Taner Akalın Choroidal Melanoma Causing Contralateral Amaurosis via Orbital Invasion Türk Oftalmoloji Dergisi Amaurosis exenteration enucleation choroid malignant melanoma recurrence orbit |
| title | Choroidal Melanoma Causing Contralateral Amaurosis via Orbital Invasion |
| title_full | Choroidal Melanoma Causing Contralateral Amaurosis via Orbital Invasion |
| title_fullStr | Choroidal Melanoma Causing Contralateral Amaurosis via Orbital Invasion |
| title_full_unstemmed | Choroidal Melanoma Causing Contralateral Amaurosis via Orbital Invasion |
| title_short | Choroidal Melanoma Causing Contralateral Amaurosis via Orbital Invasion |
| title_sort | choroidal melanoma causing contralateral amaurosis via orbital invasion |
| topic | Amaurosis exenteration enucleation choroid malignant melanoma recurrence orbit |
| url | http://www.oftalmoloji.org/article_1360/Choroidal-Melanoma-Causing-Contralateral-Amaurosis-Via-Orbital-Invasion |
| work_keys_str_mv | AT melispalamaronay choroidalmelanomacausingcontralateralamaurosisviaorbitalinvasion AT ayseyagcı choroidalmelanomacausingcontralateralamaurosisviaorbitalinvasion AT tanerakalın choroidalmelanomacausingcontralateralamaurosisviaorbitalinvasion |