Diode Laser Transscleral Cyclophotocoagulation in the Treatment of Refractory Glaucoma with Iris Melanocytoma

Iris melanocytoma is a rare melanocytic nevus with distinctive clinical and pathologic features. Secondary glaucoma may develop rapidly and respond poorly to glaucoma medication in some cases. However, few data are available in the literature with respect to the appropriate treatment for refractory...

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Bibliographic Details
Published in:Journal of the Chinese Medical Association 2008-10, Vol.71 (10), p.546-548
Main Authors: Chen, Mei-Ju, Liu, Jui-Ling, Li, Wing-Yin, Lee, Fenq-Lih, Chou, Ching-Kuang, Hsu, Wen-Ming
Format: Article
Language:English
Subjects:
Adult
glaucoma
Glaucoma - etiology
Glaucoma - surgery
Humans
Internal Medicine
iris melanocytoma
Iris Neoplasms - complications
Laser Coagulation - methods
Male
Nevus, Pigmented - complications
Sclera - surgery
transscleral cyclophotocoagulation
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Summary:Iris melanocytoma is a rare melanocytic nevus with distinctive clinical and pathologic features. Secondary glaucoma may develop rapidly and respond poorly to glaucoma medication in some cases. However, few data are available in the literature with respect to the appropriate treatment for refractory glaucoma associated with iris melanocytoma. Herein, we present a 28-year-old man with blurred vision and an elevated intraocular pressure (IOP) of 40 mmHg in his right eye while on multiple glaucoma medications. A dark brown lobulated iris mass with surrounding small pigmented lesions was noted between the 4 and 5:30 o'clock positions. Sector iridectomy was performed and pathologic examination revealed an iris melanocytoma. After surgery, antiglaucomatous medications still failed to control IOP. The patient then underwent diode laser transscleral cyclophotocoagulation (TSCP). At the last follow-up of 15 months, IOP had returned to normal without the need for medication.
ISSN:1726-4901
1728-7731
DOI:10.1016/S1726-4901(08)70166-7