title: Melanomalytic glaucoma secondary to iris melanoma.
abstract: METHODS
  A 35-year-old male with unilateral ocular hypertension in the right eye (RE). Anterior segment examination of the RE showed a melanotic lesion. Intraocular pressure (IOP) was 40mmHg in RE. Gonioscopy revealed extension into the anterior chamber angle. Excisional biopsy was performed and consistent with iris melanoma and secondary melanomalytic glaucoma. Brachytherapy was performed as adjuvant therapy.
  
  
  CONCLUSIONS
  In patients presenting with unilateral glaucoma and increased pigmentation in the trabecular meshwork, it is crucial to perform imaging studies. Resection by iridectomy with adjuvant episcleral brachytherapy is effective in controlling the disease.
authors.affiliation: Unidad de Tumores Intraoculares, Servicio de Oftalmología y Radioterapia, Hospital Clínico Universitario de Valladolid, Valladolid, España. Electronic address: sofiajamilrod@hotmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Ajamil Rodanés
authors.affiliation: Unidad de Tumores Intraoculares, Servicio de Oftalmología y Radioterapia, Hospital Clínico Universitario de Valladolid, Valladolid, España.
authors.forename: C
authors.initials: C
authors.lastname: García-Álvarez
authors.affiliation: Unidad de Tumores Intraoculares, Servicio de Oftalmología y Radioterapia, Hospital Clínico Universitario de Valladolid, Valladolid, España.
authors.forename: M A
authors.initials: MA
authors.lastname: Saornil Alvarez
authors.affiliation: Unidad de Tumores Intraoculares, Servicio de Oftalmología y Radioterapia, Hospital Clínico Universitario de Valladolid, Valladolid, España.
authors.forename: F
authors.initials: F
authors.lastname: López-Lara
authors.affiliation: Unidad de Tumores Intraoculares, Servicio de Oftalmología y Radioterapia, Hospital Clínico Universitario de Valladolid, Valladolid, España.
authors.forename: J M
authors.initials: JM
authors.lastname: Frutos Baraja
authors.affiliation: Unidad de Tumores Intraoculares, Servicio de Oftalmología y Radioterapia, Hospital Clínico Universitario de Valladolid, Valladolid, España.
authors.forename: M
authors.initials: M
authors.lastname: Quiñones
mesh_terms: D000328:Adult; D005901:Glaucoma / Q000209:etiology* / Q000473:pathology; D006801:Humans; D015811:Iris Neoplasms / Q000150:complications* / Q000473:pathology; D008297:Male; D008545:Melanoma / Q000150:complications* / Q000473:pathology
keywords: Braquiterapia epiescleral; Episcleral brachytherapy; Glaucoma melanomalítico; Iris melanoma; Melanoma de iris; Melanomalytic glaucoma