ABSTRACT
PURPOSE: To describe a case of choroidal malignant melanoma in a child without ocular melanocytosis. METHODS: A 6-year-old girl presented with misalignment of the right eye of a few weeks' duration. Visual acuity was counting fingers in the right eye and 20/20 in the left eye. Ophthalmoscopy of the right eye revealed a well defined choroidal mass in the macular region measuring 10 mm in diameter with overlying subretinal fluid. Ultrasonography revealed that the mass was 10.1 mm thick with choroidal excavation. On the basis of clinical and ultrasonographic findings, the diagnosis was choroidal melanoma without ocular melanocytosis. The eye was enucleated. RESULTS: Histopathologic examination revealed malignant melanoma of the choroid. There was not extrascleral extension. CONCLUSION: Choroidal malignant melanoma can occur in young patients, even in the absence of melanocytosis.
Subject(s)
Keratitis, Herpetic/virology , Uveitis/virology , Adolescent , Antiviral Agents/therapeutic use , Child , Child, Preschool , Diagnostic Techniques, Ophthalmological , Humans , Infant , Keratitis, Herpetic/diagnosis , Keratitis, Herpetic/therapy , Keratoplasty, Penetrating , Uveitis/diagnosis , Uveitis/therapyABSTRACT
We reported a 75-year-old diabetic man, who developed opacification and neovascularization of the posterior capsule after extracapsular cataract extraction and posterior chamber intraocular lens implantation. The patient was treated with two injections of 2.5 mg of intravitreal bevacizumab. The treatment produced an important regression of the posterior capsular new vessels, allowing us to perform a successful Nd:YAG capsulotomy, clearing the visual axis and improving the visualization of the posterior pole. Even though, best corrected visual acuity was 20/200 due to diabetic macular edema.
