Choroidal melanoma with pigment dispersion in vitreous and melanomalytic glaucoma

A 39-year-old black man underwent enucleation of the left eye because of poor vision, ocular pain, and intractable glaucoma secondary to a choroidal tumor. Two diagnostic vitrectomies, performed 11 and 7 months before enucleation, had failed to disclose the proper diagnosis. Histologic diagnosis was...

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Bibliographic Details
Published in:	Ophthalmology (Rochester, Minn.) Vol. 95; no. 3; p. 370
Main Authors:	el Baba, F, Hagler, W S, De la Cruz, A, Green, W R
Format:	Journal Article
Language:	English
Published:	United States 01-03-1988
Subjects:	Adult Choroid Neoplasms - complications Choroid Neoplasms - pathology Glaucoma - etiology Humans Male Melanins Melanoma - complications Melanoma - pathology Necrosis - pathology Vitreous Body - pathology
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Summary:	A 39-year-old black man underwent enucleation of the left eye because of poor vision, ocular pain, and intractable glaucoma secondary to a choroidal tumor. Two diagnostic vitrectomies, performed 11 and 7 months before enucleation, had failed to disclose the proper diagnosis. Histologic diagnosis was necrotic malignant melanoma of the choroid with melanocytoma cells, extensive pigment dispersion throughout the eye, and melanomalytic glaucoma. Possible mechanisms of tumor necrosis are reviewed.
ISSN:	0161-6420
DOI:	10.1016/S0161-6420(88)33186-6