ABSTRACT
We report an unusual case of an amelanotic melanoma in a 7 year old hispanic child with subclinical globe perforation. Uveal melanoma rarely occurs in children. Young affected patients are mostly light-colored eye Caucasian adolescents. Since they are not common, these tumors are usually not recognized and misdiagnosed. Differential diagnoses and therapeutic options are outlined.
Subject(s)
Corneal Perforation/etiology , Iris Neoplasms/complications , Melanoma, Amelanotic/complications , Child , Diagnosis, Differential , Eye Enucleation , Eye Hemorrhage/etiology , Humans , Iris Neoplasms/diagnosis , Iris Neoplasms/pathology , Iris Neoplasms/surgery , Male , Melanoma, Amelanotic/diagnosis , Melanoma, Amelanotic/pathology , Melanoma, Amelanotic/surgeryABSTRACT
CLINICAL CASES: The cases are presented on 2 female patients with Straatsma syndrome, with satisfactory treatment of amblyopia. DISCUSSION: The level of anisometropia and myelination of retinal nerve fibres were different in these two patients. However, both achieved 0.20 (logMAR) visual acuity with correction in both eyes following amblyopia treatment with ocular patching. Visual prognosis of amblyopia associated with myelination of retinal nerve fibres and anisometropia is poorer than anisometropic amblyopia without myelination. It is well known that the former is refractory to occlusive therapy. Despite having a poor prognosis, visual rehabilitation should be attempted. The two cases presented were successfully treated with eye-patching.
