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Bilateral uveal tumor — a case report
Affiliations- Ophthalmology Department, Karol Jonscher Municipal Medical Center in Lodz, Poland
- Medical Center “Julianów” in Lodz, Poland
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Abstract
BACKGROUND: This case presentation reports a case of bilateral uveal tumor.
CASE PRESENTATION: An 82-year-old patient reported to the ophthalmology department complaining of a limited visual field temporally in his left eye. Visual acuity in the right eye was 0.9, and in the left eye, it was 0.4. Intraocular pressure was 18 mm Hg in each eye. Indirect ophthalmoscopy in the left eye revealed a choroidal tumor. The diagnosis of uveal melanoma was confirmed, and the patient underwent a 125I brachytherapy procedure. During a follow-up visit, a tumor was observed to be spreading beyond the left eyeball, with evidence of metastatic deposits observed on the corneal endothelium. The patient underwent enucleation surgery. Two years later, the patient reported to our Ophthalmology Clinic with a significant deterioration of visual acuity in the right eye (0.2); intraocular pressure was 8 mm Hg. Indirect ophthalmoscopy revealed a choroidal tumor with subretinal fluid.
CONCLUSION: The location of bilateral choroidal melanoma should always be considered. It becomes crucial to carefully and regularly examine both eyes when uveal melanoma is found in one eye. The result of the examination may determine the type of treatment undertaken and, thus the prognosis for long-term survival.
Abstract
BACKGROUND: This case presentation reports a case of bilateral uveal tumor.
CASE PRESENTATION: An 82-year-old patient reported to the ophthalmology department complaining of a limited visual field temporally in his left eye. Visual acuity in the right eye was 0.9, and in the left eye, it was 0.4. Intraocular pressure was 18 mm Hg in each eye. Indirect ophthalmoscopy in the left eye revealed a choroidal tumor. The diagnosis of uveal melanoma was confirmed, and the patient underwent a 125I brachytherapy procedure. During a follow-up visit, a tumor was observed to be spreading beyond the left eyeball, with evidence of metastatic deposits observed on the corneal endothelium. The patient underwent enucleation surgery. Two years later, the patient reported to our Ophthalmology Clinic with a significant deterioration of visual acuity in the right eye (0.2); intraocular pressure was 8 mm Hg. Indirect ophthalmoscopy revealed a choroidal tumor with subretinal fluid.
CONCLUSION: The location of bilateral choroidal melanoma should always be considered. It becomes crucial to carefully and regularly examine both eyes when uveal melanoma is found in one eye. The result of the examination may determine the type of treatment undertaken and, thus the prognosis for long-term survival.
Keywords
uveal melanoma; bilateral tumor
About this articleTitle
Bilateral uveal tumor — a case report
Journal
Issue
Vol 8 (2023): Continuous Publishing
Article type
Case report
Pages
138-141
Published online
2023-11-28
Page views
309
Article views/downloads
120
DOI
Bibliographic record
Ophthalmol J 2023;8:138-141.
Keywords
uveal melanoma
bilateral tumor
Authors
Karolina Bonińska
Sławomir Lis
Marzena Szczepaniak
Sławomir Cisiecki
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