Metastatic tumor of the ciliary body manifesting as phacomorphic glaucoma: A clinical case
Farida Zhumageldyieva 1 * More Detail
1 Department of Ophthalmology, S.D. Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
* Corresponding Author
J CLIN MED KAZ, Volume 19, Issue 3, pp. 69-72.
https://doi.org/10.23950/jcmk/12137
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ABSTRACT
Introduction: Metastatic ciliary body tumor is a relatively rare tumor with a poor prognosis. Ciliary body tumors manifest as closed angle glaucoma, secondary glaucoma (phacomorphic glaucoma (PG), neovascular glaucoma), chronic uveitis, and cataract. The diverse manifestation of symptoms leads to diagnostic errors.
Case presentation: This article presents a clinical case of a man aged 59 years with PG of the left eye. Ultrasound biomicroscopy revealed: a mushroom-shaped mass on the ciliary body penetrating toward the posterior chamber, with indistinct boundaries. Metastatic tumor of ciliary body had clinical manifestation as PG in this patient.
Conclusion: All types of secondary glaucoma and acute attack of primary closed angle glaucoma should be carefully examined for intraocular tumor. Incorrect choice of treatment tactics for such patients can lead to common complications such as metastasis.
CITATION
Zhumageldyieva F. Metastatic tumor of the ciliary body manifesting as phacomorphic glaucoma: A clinical case. J CLIN MED KAZ. 2022;19(3):69-72.
https://doi.org/10.23950/jcmk/12137
REFERENCES
- Ferry AP, Font RL. Carcinoma metastatic to the eye and orbit: I. A clinicopathologic study of 227 cases. Archives of Ophthalmology. 1974; 92(4):276-286. https://doi.org/10.1001/archopht.1974.01010010286003
- Shields CL. et al. Survey of 520 eyes with uveal metastases. Ophthalmology. 1997; 104(8):1265-1276. https://doi.org/10.1016/S0161-6420(97)30148-1
- Shields CL, Shields JA, Shields MB, Augsburger JJ. Prevalence and mechanisms of secondary intraocular pressure elevation in eyes with intraocular tumors. Ophthalmology. 1987; 94(7):839-846. https://doi.org/10.1016/s0161-6420(87)33537-7
- Swampillai AJ, Booth AP, Cohen VML. Ciliary Body and Iris Metastases With Anterior Chamber Angle Infiltration: A Rare Complication From Invasive Ductal Breast Cancer. Journal of Glaucoma. 2020; 29(3):e12-e15. https://doi.org/10.1097/IJG.0000000000001445
- Popovic M, Ahmed IK, DiGiovanni J, Shields CL. Radiotherapeutic and surgical management of iris melanoma: a review. Survey of Ophthalmology. 2017; 62(3):302-311. https://doi.org/10.1016/j.survophthal.2016.12.012
- Camp DA, Yadav P, Dalvin LA, Shields CL. Glaucoma secondary to intraocular tumors: mechanisms and management. Current Opinion in Ophthalmology. 2019; 30(2):71-81. https://doi.org/10.1097/ICU.0000000000000550
- Singh K, Dangda S, Ahir N, Mutreja A, Bhattacharyya M. Diode laser cyclophotocoagulation paves way to a safer trabeculectomy in eyes with medically uncontrollable intraocular pressure. International ophthalmology. 2017; 37(2):365-370. https://doi.org/10.1007/s10792-016-0270-z
- Pasternak S, Erwenne CM, Nicolela MT. Subconjunctival spread of ciliary body melanoma after glaucoma filtering surgery: a clinicopathological case report. Canadian Journal Of Ophthalmology-journal Canadien D Ophtalmologie. 2005. https://doi.org/10.1016/S0008-4182(05)80120-6
- Borodin YI, Valsky VV, Erokhin IN, Kancheli IN, Lomanov MF, Lyulevich VI, et al. Technical Innovations for Proton Therapy of Intraocular Neoplasms. Part II. Russian Ophthalmological Journal. 2016; 9(2):11-17.
- Argento C, Carrasco MA, Zárate JO, Zilli ML, Vilarrodona L. Ciliary body tumor and cataract: local resection combined with phacoemulsification. Journal of Cataract & Refractive Surgery. 2001; 27(6):956-959. https://doi.org/10.1016/s0886-3350(01)00794-5
- Krohn J, Mørk SJ. Acute glaucoma caused by massive pigment dispersion from necrotic choroidal melanoma. Canadian journal of ophthalmology. Journal canadien d'ophtalmologie. 2010; 45(4):417-418. https://doi.org/10.3129/i09-264