Uveal prolapse following cataract extraction simulating melanoma


Marr B. P., Shields J. A., Shields C. L., Materin M. A., TUNCER S.

OPHTHALMIC SURGERY LASERS & IMAGING, cilt.39, sa.3, ss.250-251, 2008 (SCI-Expanded) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 39 Sayı: 3
  • Basım Tarihi: 2008
  • Doi Numarası: 10.3928/15428877-20080501-10
  • Dergi Adı: OPHTHALMIC SURGERY LASERS & IMAGING
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED)
  • Sayfa Sayıları: ss.250-251
  • İstanbul Üniversitesi Adresli: Evet

Özet

Prolapsed uveal tissue through a cataract incision can simulate any pigmented epibulbar mass, including conjunctival melanoma, extraocular extension of a ciliary body or choroidal melanoma, and pigmented squamous cell carcinoma of the conjunctiva. The authors describe an 88-year-old woman who presented with an enlarging pigmented epibulbar mass on the left eye. Although the lesion closely simulated a conjunctival melanoma or extraocular extension of a uveal melanoma, closer evaluation revealed thin uveal tissue extending through partial wound dehiscence from cataract surgery that was performed 3 years earlier. The lesion was consistent with prolapsed uveal tissue through a cataract wound masquerading as a melanoma. Therefore, uveal prolapse should be considered in the differential diagnosis of conjunctival melanoma or extraocular extension of uveal melanoma.