Uveal melanoma with opaque media: absence of definitive diagnosis before enucleation.
It is often difficult to make a correct diagnosis of a uveal melanoma in an eye with opaque media. A patient with a blind, painful eye and opaque media was evaluated clinically and with computed axial tomography and ultrasonography. We were unable to establish the definitive diagnosis of a uveal melanoma until the eye was examined histologically. Necrotic melanomas usually present with inflammatory signs, may produce opaque media and can be difficult to diagnose with clinical and imaging studies.
Char
D H
DH
Department of Ophthalmology, University of California, San Francisco 94143.
Howes
E L
EL
Fries
P D
PD
Stone
R D
RD
Barr
G R
GR
D000368:Aged; D001766:Blindness / Q000209:etiology; D006801:Humans; D008297:Male; D008545:Melanoma / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014604:Uveal Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery