title: [Acute glaucoma: first manifestation of malignant melanoma of the choroid].
abstract: Most malignant melanomas of the choroid are discovered during a routine examination of the fundus or following visual symptoms. More rarely, increased intraocular pressure or acute glaucoma represent the first signs of intraocular malignant melanoma. A 66-year-old female presented with an unilateral acute closed angle glaucoma associated with rubeosis iridis and total retinal detachment. Using ultrasonography, a choroidal neoplasm was diagnosed. Histopathologic examination of the enucleated globe confirmed the diagnosis of a necrotic malignant melanoma of the choroid with subretinal hemorrhage. Every blind eye with opaque media requires ultrasonographic and, if enucleated, histopathologic examination.
authors.affiliation: Augenklinik mit Poliklinik, Universität Erlangen-Nürnberg, Allemagne.
authors.forename: P
authors.initials: P
authors.lastname: De Gottrau
authors.forename: L M
authors.initials: LM
authors.lastname: Holbach
authors.forename: G O
authors.initials: GO
authors.lastname: Naumann
mesh_terms: D000208:Acute Disease; D000368:Aged; D002830:Choroid Neoplasms / Q000150:complications* / Q000473:pathology; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000209:etiology*; D006801:Humans; D008545:Melanoma / Q000150:complications* / Q000473:pathology
vernacular_title: Glaucome aigu: première manifestation d'un mélanome malin de la choroïde.