Ciliary body melanoma masquerading as chronic uveitis

Quan Dong Nguyen; C. Stephen Foster

doi:10.1076/ocii.6.4.253.4031

Ciliary body melanoma masquerading as chronic uveitis

Quan Dong Nguyen, C. Stephen Foster

Research output: Contribution to journal › Article

11 Scopus citations

Abstract

Purpose: To report a case of ciliary body melanoma that masqueraded as chronic uveitis. Methods: A patient experienced persistent unilateral panuveitis and elevated intraocular pressure. Inflammation and pressure worsened after cataract extraction and lens implantation. Diagnostic vitrectomy was non-revealing. Results: Repeat vitrectomy and lens implant removal revealed a ciliary body mass, suggestive of melanoma. Ultrasonography and clinical evaluation by the retinal oncologists supported this diagnosis. The uveitis persisted despite agressive medical treatments, including methotrexate. Proton beam irradiation of the melanoma led to resolution of uveitis and restoration of normal intraocular pressure. Conclusion: Ciliary body melanoma can present as chronic uveitis and refractory glaucoma.

Original language	English (US)
Pages (from-to)	253-256
Number of pages	4
Journal	Ocular Immunology and Inflammation
Volume	6
Issue number	4
DOIs	https://doi.org/10.1076/ocii.6.4.253.4031
State	Published - Dec 1 1998
Externally published	Yes

Keywords

Ciliary body
Masquerade
Melanoma
Uveitis

ASJC Scopus subject areas

Immunology and Allergy
Ophthalmology

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Nguyen, Q. D., & Foster, C. S. (1998). Ciliary body melanoma masquerading as chronic uveitis. Ocular Immunology and Inflammation, 6(4), 253-256. https://doi.org/10.1076/ocii.6.4.253.4031

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abstract = "Purpose: To report a case of ciliary body melanoma that masqueraded as chronic uveitis. Methods: A patient experienced persistent unilateral panuveitis and elevated intraocular pressure. Inflammation and pressure worsened after cataract extraction and lens implantation. Diagnostic vitrectomy was non-revealing. Results: Repeat vitrectomy and lens implant removal revealed a ciliary body mass, suggestive of melanoma. Ultrasonography and clinical evaluation by the retinal oncologists supported this diagnosis. The uveitis persisted despite agressive medical treatments, including methotrexate. Proton beam irradiation of the melanoma led to resolution of uveitis and restoration of normal intraocular pressure. Conclusion: Ciliary body melanoma can present as chronic uveitis and refractory glaucoma.",

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