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Acute angle closure glaucoma secondary to a choroidal melanoma
Geoffrey P Schwartz1, Louis W Schwartz
1Wills Eye Hospital, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA. geoffreyschwartz@hotmail.com
Summary
A choroidal melanoma caused acute angle closure glaucoma in a 75-year-old woman. Thorough eye exams are crucial for diagnosing secondary causes of angle closure, including tumors.
Area of Science:
- Ophthalmology
- Oncology
Background:
- Acute angle closure glaucoma (AACG) is an ophthalmic emergency.
- Secondary causes of AACG require prompt identification and management.
Observation:
- A 75-year-old woman presented with AACG and bilateral narrow angles.
- Initial medical management and laser peripheral iridotomies stabilized intraocular pressure and opened angles.
- Funduscopic examination revealed a large choroidal melanoma in the affected eye.
Findings:
- A choroidal melanoma was identified as the cause of AACG.
- Successful medical and laser treatment allowed for diagnosis via fundus examination.
Implications:
- This case highlights the importance of a comprehensive eye examination in patients with AACG.
- Ophthalmologists must consider and rule out secondary causes, including intraocular tumors, to prevent vision loss and systemic complications.