[Acute angle closure glaucoma with unilateral acute loss of vision].
We report the case of a 31-year-old patient who presented with unilateral acute loss of vision, severe headache, and symptoms of an acute angle-closure glaucoma. Surprisingly, a prepapillary uveal melanoma was the underlying reason; that is, a masquerade syndrome was seen. Enucleation and histopathological investigation of that eye were performed within 3 days after first presentation. Acute angle-closure glaucoma as the initial presentation of uveal melanoma is rare. Nevertheless, clinicians should be aware that patients with refractory unilateral angle-closure glaucoma and asymmetrically opaque media may harbor an occult uveal melanoma.
Khaireddin
R
R
Klinik and Poliklinik für Augenheilkunde, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland. dr.khaireddin@gmx.de
Richard
G
G
Linke
S J
SJ
D000208:Acute Disease; D000328:Adult; D001766:Blindness / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology / Q000601:surgery; D002829:Choroid / Q000473:pathology; D002830:Choroid Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D008545:Melanoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D009361:Neoplasm Invasiveness; D009887:Ophthalmoscopy; D009900:Optic Nerve / Q000473:pathology; D012590:Sclera / Q000473:pathology; D014463:Ultrasonography