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  • Title: [Acute glaucoma: first manifestation of malignant melanoma of the choroid].
    Author: De Gottrau P, Holbach LM, Naumann GO.
    Journal: J Fr Ophtalmol; 1993; 16(4):275-7. PubMed ID: 8326111.
    Abstract:
    Most malignant melanomas of the choroid are discovered during a routine examination of the fundus or following visual symptoms. More rarely, increased intraocular pressure or acute glaucoma represent the first signs of intraocular malignant melanoma. A 66-year-old female presented with an unilateral acute closed angle glaucoma associated with rubeosis iridis and total retinal detachment. Using ultrasonography, a choroidal neoplasm was diagnosed. Histopathologic examination of the enucleated globe confirmed the diagnosis of a necrotic malignant melanoma of the choroid with subretinal hemorrhage. Every blind eye with opaque media requires ultrasonographic and, if enucleated, histopathologic examination.
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