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Pupil sparing excision of an atypical iris melanocytoma induces remission of secondary glaucoma
  1. J C Zhao,
  2. D N Zacks,
  3. E S Gragoudas,
  4. L R Pasquale
  1. Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA
  1. Correspondence to: L R Pasquale MD Massachusetts Eye and Ear Infirmary, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA; Louis_Pasqualemeei.harvard.edu

https://doi.org/10.1136/bjo.2003.037150

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    Secondary glaucoma with iris melanocytoma can be successfully managed using sector iridectomy to reduce tumour burden in the anterior chamber.1,2 In our case of iris melanocytoma associated with glaucoma, we achieved normalisation of intraocular pressure (IOP) with pupil sparing partial iridectomy. As in previous reports,1–3 there was evidence of tumour necrosis, although our tumour exhibited more nuclear pleomorphism than is typical for a melanocytoma.

    Case report

    A 37 year old white man, with an iris pigmented mass of the left eye discovered at age 17, was followed without incident until he developed acute pain and decreased vision 4 years ago. Review of systems was not remarkable for trauma, surgery, or systemic illness.

    Visual acuities were 20/20 in the right eye and hand motion in the left eye. Slit lamp biomicroscopy showed microcystic corneal oedema with 4+ suspended …

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