Malignancy in the blind painful eye--report of two cases and literature review.
BACKGROUND
Few cases of malignant tumors arising in a blind painful eye have previously been described. We described two cases of a blind painful eye containing an unsuspected tumor, which were enucleated to relieve the pain.


METHODS
Case 1: A 57 year-old Caucasian man presented with recurrent orbital cellulitis and endophthalmitis in the left eye (OS). The OS was blind and painful and an enucleation was performed showing a uveal melanoma by histopathological exam. Case 2: A 54 year-old Caucasian man with previous history of a rhegmatogenous retinal detachment in his left eye presented a blind painful eye. Enucleation was performed revealing a well-differentiated B-cell lymphoma of uveal tract with extra ocular extension.


CONCLUSIONS
In the management of a blind painful eye, it is extremely important to rule out an intraocular malignancy particularly in those patients who have not been followed by an ophthalmologist.
Pereira
Patrícia Rusa
PR
Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil. patriciarusa@yahoo.com.br
Odashiro
Alexandre Nakao
AN
Souza Filho
João Pessoa
JP
Saraiva
Vinicius S
VS
Camoriano
David Gerardo
DG
Burnier
Miguel N
MN