Necrotic melanocytoma of iris with secondary glaucoma.
A 23-year-old white man had a pigmented iris tumor that was not enlarging; it produced satellite iris lesions, diffuse pigmentation of the trabecular meshwork, and secondary glaucoma. Although enucleation was initially recommended, we chose to remove only the primary lesion with a sector iridectomy. Histologically, the lesion proved to be a benign melanocytoma that had undergone extensive necrosis. Postoperatively, the satellite lesions, pigmentation in the angle, and glaucoma all resolved.
D000328:Adult; D005134:Eye Neoplasms / Q000150:complications* / Q000601:surgery; D005500:Follow-Up Studies; D005901:Glaucoma / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007498:Iris / Q000601:surgery; D008297:Male; D008545:Melanoma / Q000150:complications* / Q000601:surgery; D009336:Necrosis; D009361:Neoplasm Invasiveness; D014129:Trabecular Meshwork