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Annals of ophthalmology · Feb 1988
Case ReportsIntraocular malignant melanoma simulating uveal prolapse.
- M DiSclafani and I R Lederman.
- Department of Ophthalmology, Eastern Virginia Medical School, Norfolk.
- Ann Ophthalmol. 1988 Feb 1; 20 (2): 68-70.
AbstractAn 87-year-old woman, who had undergone cataract surgery and vitrectomy OD two years previously, had a blind, painful right eye secondary to intraocular hemorrhage and glaucoma. At the initial examination, a flat area of darkly pigmented tissue was noted at the wound site of the previous cataract surgery, and uveal prolapse was diagnosed. One year later, pigmented tissue was also seen at the inferior limbus. Intraocular malignant melanoma was considered, and the eye was enucleated. Histologic study revealed areas of hemorrhage and epithelioid malignant melanoma. It is important to recognize that prolapse of tissue at a surgical wound site may represent an extension of an intraocular malignancy.
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