Abstract | PURPOSE: 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:
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Authors | Melis Palamar, Archana Thangappan, Carol L Shields, Hormoz Ehya, Jerry A Shields |
Journal | Cornea
(Cornea)
Vol. 28
Issue 3
Pg. 354-6
(Apr 2009)
ISSN: 1536-4798 [Electronic] United States |
PMID | 19387243
(Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Aged
- Biopsy, Needle
- Brachytherapy
- Choroid Diseases
(diagnosis)
- Choroid Neoplasms
(diagnostic imaging, pathology, radiotherapy)
- Exudates and Transudates
- Female
- Humans
- Iodine Radioisotopes
(therapeutic use)
- Melanoma
(diagnostic imaging, pathology, radiotherapy)
- Necrosis
- Scleritis
(diagnosis)
- Ultrasonography
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