Diwo E, Merle H
Service d'ophtalmologie, centre hospitalier universitaire de Fort-de-France, hôpital Pierre-Zobda-Quitman, boîte postale 632, 97261 Fort-de-France cedex, Martinique.
J Fr Ophtalmol. 2013 Dec;36(10):e191-5. doi: 10.1016/j.jfo.2013.01.016. Epub 2013 Oct 25.
The incidence of uveal melanoma, in particular that of the ciliary body, is very low in black people, including West Indians. When symptomatic, it manifests as decreased or impaired visual acuity and seldom, if ever, pain. We report a case of ciliary body melanoma that is of scientific interest for two reasons: 1) a West Indian melanoderm patient being affected, 2) presentation as a recurrent uveitis with a transient increase of intraocular pressure, and without any decline in visual acuity. We recommend that in any case of uveitis, black patients included, a ciliary body tumor should always be excluded by pupillary dilation.
葡萄膜黑色素瘤的发病率,尤其是睫状体黑色素瘤的发病率,在包括西印度群岛人在内的黑人中非常低。出现症状时,表现为视力下降或受损,很少(如果有的话)出现疼痛。我们报告一例睫状体黑色素瘤病例,该病例具有两个科学研究价值:1)患者为西印度群岛的黑皮肤人;2)表现为复发性葡萄膜炎,眼压短暂升高,且视力无任何下降。我们建议,在任何葡萄膜炎病例中,包括黑人患者,都应通过散瞳排除睫状体肿瘤。