title: Rapidly growing iris melanocytoma with secondary glaucoma in a 6-year-old child.
abstract: OBJECTIVE
  To describe an unusual case of pediatric iris melanocytoma with pigment dispersion glaucoma that resolved after resection of the primary tumor.
  
  
  METHODS
  Retrospective case review of the clinical record, ultrasonographic images, and histopathology.
  
  
  RESULTS
  A 6-year-old Asian girl, with a dark iris tumor, pigment dispersion, and secondary glaucoma, was initially treated with topical antiglaucoma medication and observation. Rapid growth prompted biopsy, revealing melanocytoma. As the tumor continued to grow, excision of the primary tumor was performed. Surgery proved curative in that the pigment dispersion slowly reabsorbed and her glaucoma resolved.
  
  
  CONCLUSIONS
  In this case, rapid growth did not indicate malignant transformation. Initial observation for growth and judiciously timed surgical intervention prevented progression, loss of vision, and potentially the loss of the eye.
authors.affiliation: The New York Eye Cancer Center, New York, NY - USA.|New York Eye and Ear Infirmary of Mt. Sinai, New York, NY - USA.
authors.forename: Vishal
authors.initials: V
authors.lastname: Sharma
authors.affiliation: The New York Eye Cancer Center, New York, NY - USA.|New York University School of Medicine, New York, NY - USA.
authors.forename: Paul T
authors.initials: PT
authors.lastname: Finger
authors.affiliation: New York Eye and Ear Infirmary of Mt. Sinai, New York, NY - USA.|Icahn School of Medicine at Mt. Sinai, New York, NY - USA.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Sidoti
authors.affiliation: The New York Eye Cancer Center, New York, NY - USA.|New York Eye and Ear Infirmary of Mt. Sinai, New York, NY - USA.
authors.forename: Ekaterina
authors.initials: E
authors.lastname: Semenova
authors.affiliation: New York Eye and Ear Infirmary of Mt. Sinai, New York, NY - USA.|Icahn School of Medicine at Mt. Sinai, New York, NY - USA.
authors.forename: Codrin E
authors.initials: CE
authors.lastname: Iacob
mesh_terms: D002648:Child; D005260:Female; D005902:Glaucoma, Open-Angle / Q000209:etiology*; D006801:Humans; D032801:Iridectomy; D015811:Iris Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D009508:Nevus, Pigmented / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D012189:Retrospective Studies; D014463:Ultrasonography