虹膜坏死性黑素细胞瘤伴继发性青光眼。

Necrotic melanocytoma of iris with secondary glaucoma.

作者信息

Shields J A, Annesley W H, Spaeth G L

出版信息

Am J Ophthalmol. 1977 Dec;84(6):826-9. doi: 10.1016/0002-9394(77)90505-0.

Abstract

A 23-year-old white man had a pigmented iris tumor that was not enlarging; it produced satellite iris lesions, diffuse pigmentation of the trabecular meshwork, and secondary glaucoma. Although enucleation was initially recommended, we chose to remove only the primary lesion with a sector iridectomy. Histologically, the lesion proved to be a benign melanocytoma that had undergone extensive necrosis. Postoperatively, the satellite lesions, pigmentation in the angle, and glaucoma all resolved.

摘要

一名23岁的白人男性患有一个未增大的色素性虹膜肿瘤；它产生了虹膜卫星病灶、小梁网弥漫性色素沉着以及继发性青光眼。尽管最初建议进行眼球摘除术，但我们选择仅通过扇形虹膜切除术切除原发性病变。组织学检查显示，该病变为良性黑素细胞瘤，已发生广泛坏死。术后，卫星病灶、房角色素沉着和青光眼均得到缓解。