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  Vol. 127 No. 1, January 2009 TABLE OF CONTENTS
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Intraocular Lens and Choroidal Melanoma: A Strange Affinity

S. K. Gibran, MD

Arch Ophthalmol. 2009;127(1):96.

Since this article does not have an abstract, we have provided the first 103 words of the full text and any section headings.


 
Figure appears in full text version.
A 64-year-old man had sudden loss of vision in his left eye. Visual acuity dropped to counting fingers from 20/120. History revealed bilateral choroidal malignant melanoma treated with proton beam radiotherapy followed by bilateral uncomplicated phacoemulsification and intracapsular lens implantation. Examination showed a dislocated intraocular lens sitting on the sterilized tumor. It is possible that radiation-induced damage resulted in dehiscence of lens zonules, as revealed at the time of corrective surgery, which included 25-guage vitrectomy, removal of the intraocular lens through corneal incision, and implantation of an Artisan lens. Visual acuity returned to predislocation level, to the patient's satisfaction.




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