Journal of the Korean Ophthalmological Society 1996;37(11):1968-1972.
Published online November 1, 1996.
Orbital Malignant Melanoma Diagnosed after Evisceration for Neovascular Glaucoma.
Sang Kyun Kim, Sung Joo Kim, Hye Young Kim, Sang Yeul Lee
Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
신생혈관녹내장으로 안구내용제거술 후 발견된 안와내 악성 흑색종
김상균(Sang Kyun Kim),김성주(Sung Joo Kim),김혜영(Hye Young Kim),이상렬(Sang Yeul Lee)
Abstract
Malignant melanoma is the most common intraocular tumor in adults. Extrascleral extension has been reported to occur in 10% to 28% of patients with choroidal melanoma, and the mortality rate is much higher than that for patients without extrascleral extension. Many ophthalmologist are familiar with the difficulties that may occur in the clinical diagnosis of malignant melanoma. Especially it is very difficult if there are glaucoma, cataract, and retinal detachment. In this situation the evisceration procedure probably did permit the development of an orbital recurrence of malignant melanoma. A 50-year-old woman developed orbital mass 2 month after evisceration at the right eye for neovascular glaucoma and the patient was managed by orbital excenteration and radiotheraphy. If there are glaucoma, cataract, and retinal detachment of unknown causes, the ultrasonography and other radiologic study should be done for unsuspected malignant tumor.
Key Words: Evisceration;Malignant melanoma;Neovascular glaucoma


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