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April 1989

Iris Melanoma With Increased Intraocular PressureDifferentiation of Focal Solitary Tumors From Diffuse or Multiple Tumors

Author Affiliations

From the Ocular Oncology Unit, Departments of Ophthalmology (Drs Char and Crawford), Radiation Oncology (Dr Char), and Pathology (Drs Gonzales and Miller), University of California, San Francisco.

Arch Ophthalmol. 1989;107(4):548-551. doi:10.1001/archopht.1989.01070010562032

• A 70-year-old man presented with an apparent focal iris ciliary body mass and increased intraocular pressure. Fine needle aspiration biopsy 180° from the main lesion demonstrated uveal melanoma cells in the angle. The eye was enucleated, and multiple separate iris and ciliary body melanomas were noted. This case demonstrates the usefulness of fine needle aspiration biopsy for both diagnosis and optimum therapy in selected cases.