Iris melanoma with increased intraocular pressure. Differentiation of focal solitary tumors from diffuse or multiple tumors
D. H. Char, J. B. Crawford, J. Gonzales and T. Miller
Department of Ophthalmology, University of California, San Francisco 94143.
A 70-year-old man presented with an apparent focal iris ciliary body mass
and increased intraocular pressure. Fine needle aspiration biopsy 180
degrees from the main lesion demonstrated uveal melanoma cells in the
angle. The eye was enucleated, and multiple separate iris and ciliary body
melanomas were noted. This case demonstrates the usefulness of fine needle
aspiration biopsy for both diagnosis and optimum therapy in selected cases.
