Diode laser transscleral cyclophotocoagulation in the treatment of refractory glaucoma with iris melanocytoma

Mei Ju Chen, Jui Ling Liu, Wing Yin Li, Fenq Lih Lee, Ching Kuang Chou, Wen-Ming Hsu

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Iris melanocytoma is a rare melanocytic nevus with distinctive clinical and pathologic features. Secondary glaucoma may develop rapidly and respond poorly to glaucoma medication in some cases. However, few data are available in the literature with respect to the appropriate treatment for refractory glaucoma associated with iris melanocytoma. Herein, we present a 28-year-old man with blurred vision and an elevated intraocular pressure (IOP) of 40 mmHg in his right eye while on multiple glaucoma medications. A dark brown lobulated iris mass with surrounding small pigmented lesions was noted between the 4 and 5:30 o'clock positions. Sector iridectomy was performed and pathologic examination revealed an iris melanocytoma. After surgery, antiglaucomatous medications still failed to control IOP. The patient then underwent diode laser transscleral cyclophotocoagulation (TSCP). At the last follow-up of 15 months, IOP had returned to normal without the need for medication.

Original languageEnglish
Pages (from-to)546-548
Number of pages3
JournalJournal of the Chinese Medical Association
Volume71
Issue number10
DOIs
Publication statusPublished - Jan 1 2008
Externally publishedYes

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Semiconductor Lasers
Iris
Glaucoma
Intraocular Pressure
Iridectomy
Pigmented Nevus
Therapeutics

Keywords

  • Glaucoma
  • Iris melanocytoma
  • Transscleral cyclophotocoagulation

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Diode laser transscleral cyclophotocoagulation in the treatment of refractory glaucoma with iris melanocytoma. / Chen, Mei Ju; Liu, Jui Ling; Li, Wing Yin; Lee, Fenq Lih; Chou, Ching Kuang; Hsu, Wen-Ming.

In: Journal of the Chinese Medical Association, Vol. 71, No. 10, 01.01.2008, p. 546-548.

Research output: Contribution to journalArticle

Chen, Mei Ju ; Liu, Jui Ling ; Li, Wing Yin ; Lee, Fenq Lih ; Chou, Ching Kuang ; Hsu, Wen-Ming. / Diode laser transscleral cyclophotocoagulation in the treatment of refractory glaucoma with iris melanocytoma. In: Journal of the Chinese Medical Association. 2008 ; Vol. 71, No. 10. pp. 546-548.
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AB - Iris melanocytoma is a rare melanocytic nevus with distinctive clinical and pathologic features. Secondary glaucoma may develop rapidly and respond poorly to glaucoma medication in some cases. However, few data are available in the literature with respect to the appropriate treatment for refractory glaucoma associated with iris melanocytoma. Herein, we present a 28-year-old man with blurred vision and an elevated intraocular pressure (IOP) of 40 mmHg in his right eye while on multiple glaucoma medications. A dark brown lobulated iris mass with surrounding small pigmented lesions was noted between the 4 and 5:30 o'clock positions. Sector iridectomy was performed and pathologic examination revealed an iris melanocytoma. After surgery, antiglaucomatous medications still failed to control IOP. The patient then underwent diode laser transscleral cyclophotocoagulation (TSCP). At the last follow-up of 15 months, IOP had returned to normal without the need for medication.

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