A case of ciliary body melanocytoma presenting as a painful iris mass.
We report a case of ciliary body melanocytoma in a Korean patient, which presented as an intermittently painful pigmented iris mass and was successfully managed by iridocyclectomy. A 52-year-old healthy man presented with an irregularly-shaped and heavily-pigmented mass at the iris root of his right eye. Visual acuity of the right eye was 20/20 with normal intraocular pressure. Ultrasound biomicroscopy showed a 1.5x1.3-mm ciliary-body mass with extension into the iris root. Iridocyclectomy with scleral resection under a lamellar scleral flap was performed, and the histopathologic features of the resected tissue were consistent with melanocytoma of the ciliary body. The patient's visual acuity remained 20/20 with good postoperative cosmesis. During one year of follow-up, no signs of tumor recurrence were seen, and the patient reported resolution of the intermittent ocular pain in the involved eye.
Lee
Christopher Seungkyu
CS
Department of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.
Kim
Do Kyung
DK
Lee
Sung Chul
SC
D002924:Ciliary Body / Q000601:surgery; D006801:Humans; D007498:Iris / Q000473:pathology* / Q000503:physiopathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology* / Q000503:physiopathology; D009506:Nevus / Q000473:pathology* / Q000601:surgery; D010146:Pain / Q000503:physiopathology*; D014604:Uveal Neoplasms / Q000473:pathology* / Q000601:surgery