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Palamar M , Thangappan A , Shields CL , Ehya H , Shields JA
Necrotic Choroidal Melanoma With Scleritis and Choroidal Effusion
Cornea. 2009 Apr;28(3) :354-356
PMID: ISI:000264617000021   
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Abstract
Purpose: To report a case of a choroidal melanoma that presented with painful scleritis and choroidal effusion. Methods: Interventional case report with cytopathologic correlation. Results: A 78-year-old otherwise healthy woman presented with sudden, severe painful ocular inflammation and marked injection of the right eye over a 3-day period, consistent with scleritis. Upon referral, 360 degrees of scleral and Conjunctival injection and peripheral choroidal effusion were found. In addition, a solid hemorrhagic, choroidal mass was evident, Suspicious for Melanoma. Fine needle aspiration biopsy of the choroidal mass confirmed necrotic melanoma. The melanoma was treated with iodine 125 plaque radiotherapy, and during surgery, the temporal sclera was markedly edematous and the orbital tissue was fibrotic, presumed related to inflammation. Two months after radiotherapy, the scleritis and choroidal effusion had resolved. Conclusion: Uveal effusion can rarely occur With uveal melanoma. particularly when the tumor is necrotic.
Notes
ISI Document Delivery No.: 425DK Times Cited: 0 Cited Reference Count: 5 Cited References: ALBERT DM, 1998, AM J OPHTHALMOL, V125, P745 MOSHARI A, 2001, AM J OPHTHALMOL, V131, P232 SAMUELS B, 1934, ARCH OPHTHALMOL-CHIC, V11, P998 SHIELDS CL, 1999, ARCH OPHTHALMOL-CHIC, V117, P1245 YAP EY, 1992, OPHTHALMOLOGY, V99, P1693 Palamar, Melis Thangappan, Archana Shields, Carol L. Ehya, Hormoz Shields, Jerry A. LIPPINCOTT WILLIAMS & WILKINS; 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA