Malignant melanoma of the choroid presenting as choroidal detachment following cataract surgery.
The progression of a monocular nuclear cataract was observed for thirty-two months in an eye which was apparently otherwise normal. Three weeks after uncomplicated cataract surgery the patient presented with an apparent detachment of the choroid which enlarged dramatically within a relatively short time and which was further complicated by a retinal detachment. The subsequent development of rubeosis iridis and increased intraocular pressure suggested some other etiology. Ultrasonography revealed a malignant melanoma which was confirmed following enucleation. Transillumination of all suspected postoperative choroidal detachments is recommended with more definitive examination when indicated.
D000368:Aged; D002386:Cataract / Q000209:etiology; D002387:Cataract Extraction; D002829:Choroid; D002830:Choroid Neoplasms / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008545:Melanoma / Q000150:complications / Q000175:diagnosis*; D011183:Postoperative Complications / Q000175:diagnosis; D014172:Transillumination; D014463:Ultrasonography; D014603:Uveal Diseases / Q000175:diagnosis