Endoresection of irradiated choroidal melanoma as a treatment for intractable vitreous hemorrhage and secondary blood-induced glaucoma

Semin Ophthalmol. 2008 Mar-Apr;23(2):135-8. doi: 10.1080/08820530801894467.

Abstract

A 50-year-old man presented with uncontrolled erythroclastic glaucoma and recurrent vitreous hemorrhage from a previously irradiated choroidal melanoma. Despite trabeculectomy, intraocular pressure became uncontrolled due to increasing bleeding from the melanoma. The vitreous hemorrhage became voluminous and could not be stopped with multiple vitrectomies with endolaser, transpupillary thermotherapy, and transscleral laser. Endoresection of the regressed tumor and its bleeding vasculature resulted in immediate cessation of the bleeding and control of the intraocular pressure.

Publication types

  • Case Reports

MeSH terms

  • Blood*
  • Brachytherapy
  • Choroid Neoplasms / diagnostic imaging
  • Choroid Neoplasms / radiotherapy
  • Choroid Neoplasms / surgery*
  • Glaucoma / etiology
  • Glaucoma / surgery*
  • Humans
  • Hyperthermia, Induced
  • Intraocular Pressure
  • Iodine Radioisotopes
  • Male
  • Melanoma / diagnostic imaging
  • Melanoma / radiotherapy
  • Melanoma / surgery*
  • Middle Aged
  • Recurrence
  • Trabeculectomy
  • Ultrasonography
  • Visual Acuity
  • Vitrectomy
  • Vitreous Hemorrhage / etiology
  • Vitreous Hemorrhage / surgery*

Substances

  • Iodine Radioisotopes