Necrotic uveal melanoma with orbital inflammation

Author(s): Blasi MA, Giammaria D, Balestrazzi E

Abstract

Purpose: Extraocular extension of uveal melanoma can be accompanied by proptosis and signs of orbital inflammation but this clinical presentation is an uncommon feature if the tumor is solely intraocular.

Methods: Case report.

Results: The authors describe a patient with a medium-sized necrotic uveal melanoma, without extraocular spread, presenting with the clinical picture of orbital cellulitis.

Conclusions: The ophthalmologist needs to be aware of this uncommon presentation of uveal melanoma, and not assume the presence of proptosis and orbital inflammation as signs of extraocular extension.

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