Uveal melanoma presenting as cataract and staphyloma

• Main Authors: Khetan Vikas, Gupta Kshanada, Mohan E, Gopal Lingam
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2009-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Complicated cataract; extended enucleation; staphyloma; uveal melanoma
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2009;volume=57;issue=3;spage=223;epage=225;aulast=Khetan

Blind eyes can harbor a choroidal melanoma. We report a case of uveal melanoma presenting as staphyloma and complicated cataract in a 45-year-old female. The left eye was blind for six months. She underwent comprehensive ocular examination but fundus examination was precluded due to total cataract. The ultrasound of the eye showed a large mass filling the superior, nasal and inferonasal vitreous cavity with high surface reflectivity and low to moderate internal reflectivity. Magnetic resonance imaging (MRI) confirmed the diagnosis of choroidal melanoma. The patient underwent extended enucleation and histopathology was consistent with uveal melanoma.