Rinsho Ganka Volume 73, Issue 8 (August 2019)
Japanese

A case of glaucoma secondary to ciliary body melanocytoma treated by two-stage surgery Ai Shirahase 1 , Masahiro Fujimoto 1 , Takanori Kameda 1 , Akitaka Tsujikawa 1 1Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine pp.1087-1092
Published Date 2019/8/15
DOI https://doi.org/10.11477/mf.1410213240
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Abstract Purpose:To report a case of glaucoma secondary to ciliary body melanocytoma requiring a two-stage surgery.

Case:A 73-year-old man was referred to our hospital because of uncontrolled intraocular pressure(IOP)in his left eye even with the anti-glaucomatous medications. Slit-lamp examination of the left eye showed clumps of dark-brown pigmented cells in the anterior chamber angle and anterior bulging of the iris at the 5 o'clock position. Anterior segment optical coherence tomography(OCT) showed a solid mass beside the iris. The clinical diagnosis was secondary glaucoma resulting from ciliary body melanocytoma. The first operation was performed to achieve reduction in IOP involved transscleral excision of the tumor. Histopathologic examination revealed a melanocytoma. After the inflammatory response was controlled, trabeculectomy was performed as the second stage of two-stage operation in response to the continuously elevated IOP. Adequate IOP control was achieved in the left eye without the use of medication.

Conclusion:Two-stage surgery may be an effective treatment option for secondary glaucoma resulting from ciliary body melanocytoma.


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基本情報

03705579.73.8.jpg
臨床眼科
73巻8号 (2019年8月)
電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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