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Published on: December 2, 2022
Uveal Melanoma Mimicking Advanced Coats' Disease in a Young Patient
Naina Gupta1, William Terrell1, Lynn Schoenfield2
1Havener Eye Institute, Department of Ophthalmology and Visual Science, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Background/Aims:
To report a case and the unique histopathology of a necrotic uveal melanoma mimicking advanced Coats' disease in a young adult.
Method:
A 26-year-old male presented with a blind, painful eye, total exudative retinal detachment, and bulbous aneurysms consistent with Coats' disease. No masses were visualized on ultrasound or CT scan, and the patient underwent enucleation of the eye.
Results:
Histopathology of the involved eye confirmed a necrotic uveal melanoma with persistent spindle cells forming a collar around residual tumor vessels.
Conclusion:
Careful consideration is needed in approaching any patient with a blind, painful eye and opaque media, even in younger populations.
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