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ISSN 1561-3186 (Electronic)

2021, Number 1

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Rev Acta Médica 2021; 22 (1)

Choroid melanoma masked like phacomorphic glaucoma

López RR, Álvarez LD, González VP, Valencia BBR

Language: Spanish
References: 15
Page:
PDF size: 134.29 Kb.


ABSTRACT

Introduction: Intraocular tumors can induce secondary glaucoma through many mechanisms. Uveal melanoma is the most common primary intraocular tumor in adults. At least 40% develop liver metastases leading to death.
Objective: To guide the search for intraocular tumors as an etiological factor of unilateral and refractory secondary glaucomas.
Case presentation: A 78-year-old, white-skinned male patient with a history of Arterial Hypertension, Diabetes Mellitus, diabetic macroangiopathy and grade 1 obesity comes to a glaucoma consultation reporting having slow and progressive loss of vision accompanied by intermittent red eye in his right eye. Vision is almost zero and the intensity of pain is strongest in the morning. With the data of the ophthalmological physical examination, a phacomorphic glaucoma is diagnosed. It was decided to enter to compensate for ocular hypertension and subsequent surgical treatment. During the operation and after the extraction of the lens, a dark brown or brown intraocular mass was observed that protruded behind the iris at eleven o'clock and towards the center of the visual axis, making us think of an unsuspected intraocular tumor. A new surgical intervention is then proposed, enucleation of the RE, with the prior consent of the patient. The diagnosis of melanotic melanoma is corroborated by the pathological anatomy department.
Conclusions: uveal melanomas can mimic any form of secondary glaucoma, especially those unilateral and refractory to medical treatment.


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