A case of bilateral diffuse uveal melanocytic proliferation with secondary angle closure caused by ciliary body thickening.
Anterior segment optical coherence tomography
Bilateral diffuse uveal melanocytic proliferation
Ciliary body swelling
Secondary angle closure
Ultrasound biomicroscopy
Journal
American journal of ophthalmology case reports
ISSN: 2451-9936
Titre abrégé: Am J Ophthalmol Case Rep
Pays: United States
ID NLM: 101679941
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
15
08
2021
revised:
28
08
2022
accepted:
17
10
2022
entrez:
3
11
2022
pubmed:
4
11
2022
medline:
4
11
2022
Statut:
epublish
Résumé
To describe a case of bilateral diffuse uveal melanocytic proliferation (BDUMP) with secondary angle closure caused by ciliary body thickening accompanied by intraocular pressure (IOP) elevation after mydriasis. A 55-year-old woman with a history of ovarian cancer had blurred vision in both eyes. Fundus examination revealed multiple patchy lesions in both eyes and a nevus-like elevated lesion in the right eye. Anterior segment optical coherence tomography (AS-OCT) and ultrasound biomicroscopy (UBM) demonstrated angle closure resulting from ciliary body thickening. After mydriasis, the IOP was elevated in both eyes. Instillation of a miotic drug successfully reversed the IOP to normal levels. BDUMP caused secondary angle closure in both eyes, presumably due to thickening of the entire ciliary body. AS-OCT and UBM were advantageous for analyzing the morphology of the anterior eye segment in BDUMP. Clinicians should be aware of the possibility of angle closure during the management of patients with BDUMP.
Identifiants
pubmed: 36324629
doi: 10.1016/j.ajoc.2022.101729
pii: S2451-9936(22)00475-3
pmc: PMC9619173
doi:
Types de publication
Case Reports
Langues
eng
Pagination
101729Informations de copyright
© 2022 The Authors.
Déclaration de conflit d'intérêts
None.
Références
Ophthalmology. 1980 Jun;87(6):503-17
pubmed: 7413139
Invest Ophthalmol Vis Sci. 2016 Jun 1;57(7):3299-305
pubmed: 27333184
Can J Ophthalmol. 2017 Dec;52(6):e225-e228
pubmed: 29217049
Am J Ophthalmol. 2000 Mar;129(3):342-6
pubmed: 10704550
Am J Ophthalmol. 2003 Oct;136(4):756-8
pubmed: 14516828
Ophthalmology. 2010 Sep;117(9):1720-8, 1728.e1
pubmed: 20493530
Ophthalmology. 2014 Apr;121(4):862-9
pubmed: 24321140
Acta Ophthalmol. 2017 Aug;95(5):439-445
pubmed: 28636126
Retina. 2012 Oct;32(9):1959-66
pubmed: 22791177
Arch Ophthalmol. 1990 Apr;108(4):527-33
pubmed: 2322154
BMC Ophthalmol. 2020 Dec 4;20(1):476
pubmed: 33276763
Br J Ophthalmol. 2008 Mar;92(3):340-4
pubmed: 18211929
Am J Ophthalmol. 2005 Feb;139(2):381-3
pubmed: 15734017
Klin Monbl Augenheilkd. 1966;148(5):641-52
pubmed: 5996537
Int J Retina Vitreous. 2016 May 16;2:13
pubmed: 27847631
Curr Eye Res. 2016 Apr;41(4):485-91
pubmed: 25942335
Ophthalmology. 1987 Jul;94(7):839-46
pubmed: 3658352
Am J Ophthalmol Case Rep. 2018 Apr 21;11:32-34
pubmed: 30128363
Am J Ophthalmol. 1992 Apr 15;113(4):381-9
pubmed: 1558111
Ophthalmic Surg Lasers Imaging. 2011 Jul-Aug;42(4):321-7
pubmed: 21800804
Ocul Oncol Pathol. 2019 Jan;5(1):75-78
pubmed: 30675481
JAMA Ophthalmol. 2014 Jun;132(6):756-60
pubmed: 24763691
Am J Ophthalmol. 2005 Nov;140(5):942-5
pubmed: 16310487
Arch Ophthalmol. 1968 Jun;79(6):710-5
pubmed: 5652262