THE TWOFOLD purpose of this case report is to describe a choroidal malignant melanoma with invasion of the optic nerve and to demonstrate that ultrasound techniques afforded the only positive clinical clue to the presence of an intraocular neoplasm in an eye with opaque media.
Report of a Case
A 52-year-old white man was referred to Wills Eye Hospital because of a two-week history of increasing periorbital swelling and pain in the left eye. The patient had noted decreasing visual acuity and transient episodes of pain in the involved eye for the past five years.On admission his visual acuity was OD, 20/40, and OS no light perception. Schiotz tensions were 13 mm OD and 22 mm OS with a 7.5 gm weight. There was moderate periorbital swelling, bulbar chemosis, and ciliary injection of the left eye. Heterochromia iridis with the darker iris on the involved side was present. The
Gitter KA, Annesley WH. Recognition of a Case of Choroidal Melanoma by Ultrasound. Arch Ophthalmol. 1967;78(3):358–359. doi:10.1001/archopht.1967.00980030360018
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