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Intraocular Lens and Choroidal Melanoma: A Strange Affinity
S. K. Gibran, MD
Arch Ophthalmol. 2009;127(1):96.
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| Since this article does not have an abstract, we have provided the first 103 words of the full text and any section headings. |
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Figure appears in full text version.
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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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