Cunha Aline Amaral Fulgêncio da, Rodrigues Nara Helena Teixeira, Almeida Grazziella Acácio E, Picanço Bruno Carvalho, Netto João Agostini
Santa Casa de Belo Horizonte.
Arq Bras Oftalmol. 2010 Mar-Apr;73(2):193-6. doi: 10.1590/s0004-27492010000200020.
Ocular melanomas correspond to 5% of all melanomas and 85% of them have its origin in the uveal tract. Uveal melanoma is the most common primary intraocular malignant tumor in the adult. In this article, a case of uveal melanoma in a 31 year-old female patient, with photopsia, hyperemia and low visual acuity in the left eye with evolution of 4 months is presented. In the ophthalmologic examination, visual acuity was lower than 20/400, a large tumoral mass was noted at the nasal region behind the iris with anterior lens displacement, anterior chamber narrowing and serous retinal detachment. The ocular echography suggested a large tumoral mass as a choroidal melanoma extending to the ciliary body. The confirmation diagnosis was possible through the histopathologic examination.
眼黑色素瘤占所有黑色素瘤的5%，其中85%起源于葡萄膜。葡萄膜黑色素瘤是成人中最常见的原发性眼内恶性肿瘤。本文介绍了一例31岁女性葡萄膜黑色素瘤患者，其左眼有闪光感、充血且视力低下，病程4个月。眼科检查显示，视力低于20/400，在虹膜后方鼻侧区域可见一个大的肿瘤块，晶状体向前移位，前房变窄，视网膜浆液性脱离。眼部超声检查提示有一个大的肿瘤块，为脉络膜黑色素瘤并延伸至睫状体。通过组织病理学检查得以确诊。
