Ciliary body melanocytoma with anterior segment pigment dispersion and elevated intraocular pressure

A. M. Bhorade, D. P. Edward*, D. A. Goldstein

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Purpose: To discuss a case in which melanocytoma of the ciliary body presented with widespread pigment dispersion and elevated intraocular pressure (IOP). Methods: A 64-year old woman presented with increased IOP and persistent anterior segment inflammation in her right eye. She had undergone a trabeculectomy for uncontrolled IOP before presentation. Slit-lamp examination, gonioscopy, and ultrasound biomicroscopy revealed a ciliary body mass with extension into the subconjunctiva in addition to widespread pigmentary dispersion in the anterior segment. Enucleation of the right eye was performed for histopathologic evaluation, as a diagnosis of ciliary body melanoma was made on clinical examination. Results: Histopathologic findings were diagnostic of a melanocytoma of the ciliary body with necrosis and focal malignant transformation with extension of melanocytoma cells and melanophages into the subconjunctival space, trabecular meshwork, and anterior chamber angle. Conclusion: Melanocytoma of the ciliary body is a rare intraocular tumor that may present with pigment dispersion and secondary elevated IOP. Careful examination of the anterior segment is imperative in such cases.

Original languageEnglish (US)
Pages (from-to)129-133
Number of pages5
JournalJournal of Glaucoma
Volume8
Issue number2
DOIs
StatePublished - 1999

Keywords

  • Ciliary body
  • Melanocytoma
  • Melanoma
  • Pigment dispersion
  • Pigmentary glaucoma

ASJC Scopus subject areas

  • Ophthalmology

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