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Bilateral Diffuse Uveal Melanocytic Proliferation Initially Presented as Glaucoma
Fangyu Zhao1, Liying Hu1, Ruru Guo1
1Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin, China.
Ocular Immunology and Inflammation
|February 24, 2022
Summary
Bilateral diffuse uveal melanocytic proliferation (BDUMP) can initially mimic glaucoma. Cataract surgery may improve quality of life for BDUMP patients, even with retinal detachment.
Area of Science:
- Ophthalmology
- Medical Case Reports
Background:
- Bilateral diffuse uveal melanocytic proliferation (BDUMP) is a rare condition.
- Glaucoma can be an initial presenting sign of BDUMP.
Observation:
- A 65-year-old female presented with acute ocular pain and vision loss.
- Ophthalmological examination revealed elevated intraocular pressure and shallow anterior chambers.
- BDUMP was diagnosed, followed by cataract development and surgery.
Findings:
- Cataract surgery temporarily improved visual acuity from light perception to 20/100 in both eyes.
- Vision declined to light perception at the last follow-up.
- BDUMP can present with glaucoma and benefit from cataract surgery.
Implications:
- This case highlights the importance of considering BDUMP in glaucoma patients.
- Cataract surgery can be a viable option to enhance patient quality of life in BDUMP cases.
- Early diagnosis and management are crucial for BDUMP patients.
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