Bacorn Colin, Kim Esther, Lin Lily Koo
Department of Ophthalmology and Vision Science, University of California Davis Health, Sacramento, CA, USA.
Am J Ophthalmol Case Rep. 2022 Feb 3;25:101275. doi: 10.1016/j.ajoc.2022.101275. eCollection 2022 Mar.
To present clinical images of a patient with neovascular glaucoma and hypermature cataract masking orbital extension of a uveal melanoma. Observations: A 67-year-old female was referred for neovascular glaucoma and found to have an intraocular tumor with massive orbital extension. She refused surgery and returned one year later with progression of the tumor with metastases and expired seven months later. Conclusions and importance: Unexplained glaucoma and cataract should be investigated for harboring underlying intraocular tumors to prevent delays in diagnosis. Providers also should obtain greater understanding of psychosocial and socioeconomic barriers to healthcare.
呈现一名患有新生血管性青光眼和过熟期白内障的患者的临床图像，其白内障掩盖了葡萄膜黑色素瘤的眼眶扩展情况。观察结果：一名67岁女性因新生血管性青光眼前来就诊，发现患有眼内肿瘤且伴有大量眼眶扩展。她拒绝手术，一年后因肿瘤进展并出现转移而返回，七个月后死亡。结论及重要性：对于不明原因的青光眼和白内障，应排查是否存在潜在的眼内肿瘤，以防止诊断延误。医疗服务提供者还应更深入了解医疗保健中的社会心理和社会经济障碍。
