PHACOMORPHIC GLAUCOMA ASSOCIATED WITH CHOROIDAL MELANOMA

Patients with phacomorphic glaucoma present with mature cataract, shal lowing of the anterior chamber, and angle-closure glaucoma. The opaque ocular media due to cataract formation usually precludes visualizatio n of the posterior segment of the affected eyes. The authors describe a 65-year-old man who presented with reduced vision and clinical findi ngs typical of phacomorphic glaucoma. Preoperative ultrasonography rev ealed an intraocular tumor, and magnetic resonance imaging showed a hi gh signal intensity in T-1-weighted images and a low signal intensity in T-2-weighted images consistent with choroidal melanoma. Histopathol ogic examination of the tumor after enucleation confirmed the diagnosi s. The clinical findings characteristic of phacomorphic glaucoma may b e associated with choroidal melanoma. Ultrasonography or other imaging studies should be performed on eyes with phacomorphic glaucoma and op aque ocular media to allow timely detection of any mass lesion and to guide appropriate surgical management.