Rare and interesting case of choroidal melanoma presenting as a case of a congestive glaucoma left eye in a 55 years old male patient

Title : Rare and interesting case of choroidal melanoma presenting as a case of a congestive glaucoma left eye in a 55 years old male patient

Abstract:

Choroidal melanomas are one of the commonest intraocular tumours which are kind of being malignant. Pigmented non pigmented more common in whites than blacks has got an early Tendency for liver meratasis however if diagnosed and treated in time one can prevent liver meratasis 6.5 per million in u s a and 7 per million in Denmark and other scandenivian counteries. Very difficult to diagnose due to the atypical manifestations however in most of cases present as solid or exudative retinal detachment on B scan ultrasound and indirect ophthalmoscopy malignant melanoma of c body yields poor results.
Diagnostic modalities are direct ophthalmoscopy indirect ophthalmoscopy a scan ultrasound b scan ultrasound ct scan ultrasound bscan ultrasound f f angiography

Key words progressive and painless visual field loss blued vision paracentral scotoma a c glaucoma a a c glaucoma sec Glaucoma occular hypertension normal tension Glaucoma low tension Glaucoma vitrous floaters something OCcular pain

Case report

55 years old male patient presented with a c glaucoma Left eye received anyi glaucoma medecation did not respond to rountine ant glaucoma medecation no b scan was done later on second ophthalmic consultation bscan revieled solid retinal detachment was refered for MRI scan braine for radiological confermation of melanoma however radiological report was inconclusive so it created a mistrust for the patient and he was left undiagnosed as a painful blind eye for 2b 2 years I saw patients in 2013 after 2 years of initial presentation. I did bscan picked up solid retinal detachment and did mnrbi braine and my radioigist confermed the radiological confermation of melanoma also MRI showed normal optic nerve chiasma radiation tract pit gland pit fossa and basal gangionnnormal so we’re pons midbraine ventricles cerebral hemisphere were normal. I performed block resection

Audience Take Away: 

• if a c glaucoma is not responding to usual a g medecation do bscan ultrasound
• please do m ri scan for the radiological confermation of melanoma
• once we have melanoma confermation do enucleation
• if tumour is less than 22 TREAMENT observation
• if more than 22 mm other  TREAMENTS

Biography:

Fellowship in pediatric ophthalmology, Moorfields Eye Hospital, London. Fellowship in oculoplasty and neuro-ophthalmology, K.K. Eye Specialist Hospital, Riyadh, Saudi Arabia. Ex-Senior Consultant Ophthalmology and HOD Ophthalmology, Qateef Central Hospital, Dammam, Eastern Province, Saudi Arabia. Ex-Senior Consultant Ophthalmology, GMC Srinagar, Kashmir.

Has more than 40 years of experience in the field of ophthalmology. National and international speaker. Has many international publications on Jojo MSOR. Has posted more than 17,000 and 1,700 articles on Docplexus and LinkedIn, respectively. Influencer on Curofy, Icon Curofy for the year 2021. Editor-in-chief, International Journal of Scientific Research.

Member of the Scientific Committee of the World Congress of Pediatrics and Neonatology. Member of the Scientific Committee of the World Congress of Diabetes Mellitus and Pediatric Endocrinology. Member of the International Journal of Ophthalmology and Advanced Research. Reviewer, researcher, and board member of many international journals. Has attended many international webinars as a speaker. Member of the Kashmir Ophthalmic Society (KOS).