Malignant melanoma of the conjunctiva with intraocular extension

Citation
H. Wenkel et al., Malignant melanoma of the conjunctiva with intraocular extension, ARCH OPHTH, 118(4), 2000, pp. 557-560
Citations number
9
Categorie Soggetti
Optalmology,"da verificare
Journal title
ARCHIVES OF OPHTHALMOLOGY
ISSN journal
00039950 → ACNP
Volume
118
Issue
4
Year of publication
2000
Pages
557 - 560
Database
ISI
SICI code
0003-9950(200004)118:4<557:MMOTCW>2.0.ZU;2-X
Abstract
Intraocular extension of a malignant melanoma of the conjunctiva is a rare entity. A 75-year-old woman underwent repeated surgery after receiving the diagnosis of a multilocular recurrent malignant melanoma arising from a pri mary acquired melanosis. Treatment included 2 lamellar sclerokeratectomies and percutaneous radiotherapy. Five years after initial surgery, intraocula r extension of the melanoma was observed, and enucleation was performed. Fi ndings from histopathological examination revealed a malignant melanoma occ upying part of the ciliary body, the trabecular meshwork, and the iris. Eye s with recurrent malignant melanoma of the conjunctiva should be carefully monitored for intraocular extension. Deep excision of conjunctival melanoma , including lamellar sclerokeratectomy, may abolish the natural barrier aga inst intraocular extension of malignant melanomas of the conjunctiva.