RARE AND INTERSTING CASE OF CHOROIDAL MELANOMA PRESENTING AS A CASE OF A CONGESTIVE GLUCOMA LEFT EYE IN A 55 YEARS OLD MALE PATIENT : Case Report

Gowhar Ahmad

doi:10.58372/2835-6276.1151

Authors

Gowhar Ahmad

DOI:

https://doi.org/10.58372/2835-6276.1151

Keywords:

CHOROIDAL MELANOMA

Abstract

CHOROIDAL MELANOMAS ARE ONE OF THE COMMONEST INTRODUCTION TUMOURS CAN BE BENIGN OR MALIGNANT PIGMENTED OR NON PIGMENTED MORE COMMON IN WHITES THAN BLACKS HAVE GOT AN EARLYTENDENCY FOR LIVER METATASSIS HOWEVER IF DIAGNOSED AND TREATED IN TIME ONE CAN PREVENT LIVER METATASSIS

THEY ARE 6.5 PER MILLION IN U S A AND 7 PER MILLION IN DENMARK AND OTHER SCANDENAVIAN COUNTERS

KIND OF 89 PERCENT CHOROIDAL 12 AND 8 PERCENT INVOVLE C BODY AND IRIS RESPECTIVELY

VERY DIFFICULT TO DIAGNOSE DUE TO ATYPICAL MANEFESTATIONS HOWEVER IN MOST OF SITUATIONS PRESENT AS SOLID OR EXUDATE RET DETACHMENT ON B SCAN ULTRASOUND OR INDIRECT OPHTHALMOSCOPY

MALIGNANT MELANOMA OF C BODY YIELDS POOR RESULTS

DIAGNOSTIC MODALITIES

DIRECT OPHTHALMOSCOPY

INDIRECT OPHTHALMOSCOPY

A SCAN ULTRASOUND

B SCAN ULTRASOUND

CT SCAN BRAINE

MRI SCAN BRAINE

FFA

OCT

ANGIO OCT

References

IN INSTITUTE OF OPHTHALMOLOGY UNIVERSITY OF MANCHESTER LONDON

A PATIENTT OF CH MELANOMA PRESENTING WITH A C GLAUCOMA DID NOT RESPON TO ANTI GLUCOMA MEDECATION

VISION IN NORMAL EYE WAS 6/18 MRI SCAN BRAINE WAS DONE WHICH REVIELED CH MELANOMA SO ENUCLEATION WAS DONE

IN BASCOM PALMAR INSTITUTE OF OPHTHALMOLOGY UNIVERSITY OF MIAMI AND FLORIDA

PATIENTS OF CH MELANOMA PRESENTED WITH A A C GLUCOMA

ONE PT WAS PUT ON ANTI GLUCOMA MEDECATION AND LATER LASER IRIDOTOMY WAS DONE

ND PT HAD HAZY MEDIA MAKING DETAILS OF POST SEGMENT DIFFICULT TO BE VISUALISED GIVING STRONG EVIDENCE OF INTRAOCULAR TUMOURS

B SCAN ULTRASOUND WAS DONE AND NRI SCAN BRAINE CONFERMED CH MELANOMA SO ENUCLEATION WAS DONE

SOMETIMES CH MELANOMA CAN PRESENT AS SEC GLAUCOMA THOUGH RARE

IN INSTITUTE OF OPHTHALMOLOGY AND PATHOLOGY UNIVERSITY OF CAIRO EGYPT PT OF CH MELANOMA PRESENTED WITH SEC GLAUCOMA WITH IOP OF 58 MMHG B SCAN ULTRASOUND SHOWED.SOLID RET DETACHMENT AND MRI SCAN CONFERMED CH MELANOMA SO ENUCLEATION WAS DONE

MALIGNANT MELANOMA OF C BODY MAY PRESENT AS OCCULAR HYPERTENSION OR CH UVEITIS YIELDS POOR RESULTS

VERTEX VARICES MAY PRESENT AS UVEAL MELANOMA WHICH IS BENIGN AND DISAPOERS ITSELF