A Case of Ciliary Body Melanocytoma Presenting as a Painful Iris Mass

We report a case of ciliary body melanocytoma in a Korean patient, which presented as an intermittently painful pigmented iris mass and was successfully managed by iridocyclectomy. A 52-year-old healthy man presented with an irregularly-shaped and heavily-pigmented mass at the iris root of his right eye. Visual acuity of the right eye was 20/20 with normal intraocular pressure. Ultrasound biomicroscopy showed a 1.5x1.3-mm ciliary-body mass with extension into the iris root. Iridocyclectomy with scleral resection under a lamellar scleral flap was performed, and the histopathologic features of the resected tissue were consistent with melanocytoma of the ciliary body. The patient's visual acuity remained 20/20 with good postoperative cosmesis. During one year of follow-up, no signs of tumor recurrence were seen, and the patient reported resolution of the intermittent ocular pain in the involved eye.

A Case of the Ciliary Body Neurilenioma

We experienced a case of the ciliary body neurilemorna in a 26 year old m.an who had progressive visual loss and ocular pain for two years. Neurilemomas are benign tumors and rarely occur within the eyeball. The clinical apearance of the lesion was similar to that presened by choroidal melanoma, therefore they are misdiagnosed as malignant melanoinas, resulting in enucleation. We reviewed the literature on solitary neurilemoma of the uveal tract and analyzed the main clinical and pathological features of the uveal neurilem.oma with this case which successfully treated by iridocyclectomy.