O'Leary S W, Ramsey M S
Department of Ophthalmology, Camp Hill Medical Centre, Halifax, NS.
Can J Ophthalmol. 1990 Dec;25(7):333-5.
Four cases of unsuspected uveal melanoma diagnosed after cataract extraction were found in a review of the records of enucleation specimens processed at our centre between 1974 and 1988. Similarities among the four cases included disparity in loss of visual acuity, unilateral angle-closure glaucoma, asymmetric cataract formation, inability to view the fundus and rapid flattening of the anterior chamber, with difficult closure at the time of surgery. Uveal melanoma should be suspected in any cataract patient presenting with one or more of these atypical clinical findings, and complete investigation, including A-scan and B-scan ultrasonography, is indicated.
在回顾我们中心1974年至1988年处理的眼球摘除标本记录时，发现了4例白内障摘除术后诊断出的未被怀疑的葡萄膜黑色素瘤病例。这4例病例的相似之处包括视力丧失程度不同、单侧闭角型青光眼、不对称性白内障形成、无法看清眼底以及前房迅速变平，手术时关闭困难。任何出现这些非典型临床症状中一种或多种的白内障患者都应怀疑有葡萄膜黑色素瘤，需要进行包括A超和B超超声检查在内的全面检查。
