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Pigmented Iris and Retrocorneal Membrane Simulating an Iris Melanoma

Pigmented Iris and Retrocorneal Membrane Simulating an Iris Melanoma Abstract IRIS MELANOMAS may be characterized clinically by acquired unilateral hyperchromia and glaucoma.1 The same findings, however, may be produced by non-neoplastic processes.2,3 The present report concerns such a pseudomelanoma in which neovascular glaucoma secondary to central retinal vein occlusion was the initiating factor. Report of a Case History. —A 65-year-old white woman noted sudden loss of vision in her left eye during the month prior to enucleation. The right eye had poor vision for an undetermined period of time. Clinical Examination. —There was a vitreous hemorrhage in the left eye with a visual acuity of light perception and projection. The right eye had no light perception. The right intraocular tension was 38 mm Hg (applanation) and it was within normal limits in the left eye. The right cornea had a large epithelial bulla in the inferior temporal area with a thin pigmented retrocorneal membrane behind it. This membrane References 1. Rones, B., and Zimmerman, L.E.: The Production of Heterochromia and Glaucoma by Diffuse Malignant Melanoma of the Iris , Trans Amer Acad Ophthal Otolaryng 61:447-463, 1957. 2. Klein, B.: Pseudomelanomas of the Iris , Amer J Ophthal 23:133, 1941. 3. Safar, S.: Pseudomelanoblastoma of the Iris Simulated by a Large Thrombus , Klin Mbl Augenkeilk 139:835-838, 1961. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Pigmented Iris and Retrocorneal Membrane Simulating an Iris Melanoma

Archives of Ophthalmology , Volume 78 (1) – Jul 1, 1967

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Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1967.00980030057011
Publisher site
See Article on Publisher Site

Abstract

Abstract IRIS MELANOMAS may be characterized clinically by acquired unilateral hyperchromia and glaucoma.1 The same findings, however, may be produced by non-neoplastic processes.2,3 The present report concerns such a pseudomelanoma in which neovascular glaucoma secondary to central retinal vein occlusion was the initiating factor. Report of a Case History. —A 65-year-old white woman noted sudden loss of vision in her left eye during the month prior to enucleation. The right eye had poor vision for an undetermined period of time. Clinical Examination. —There was a vitreous hemorrhage in the left eye with a visual acuity of light perception and projection. The right eye had no light perception. The right intraocular tension was 38 mm Hg (applanation) and it was within normal limits in the left eye. The right cornea had a large epithelial bulla in the inferior temporal area with a thin pigmented retrocorneal membrane behind it. This membrane References 1. Rones, B., and Zimmerman, L.E.: The Production of Heterochromia and Glaucoma by Diffuse Malignant Melanoma of the Iris , Trans Amer Acad Ophthal Otolaryng 61:447-463, 1957. 2. Klein, B.: Pseudomelanomas of the Iris , Amer J Ophthal 23:133, 1941. 3. Safar, S.: Pseudomelanoblastoma of the Iris Simulated by a Large Thrombus , Klin Mbl Augenkeilk 139:835-838, 1961.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jul 1, 1967

References