Large ciliary body melanocytoma with pseudocysts: a case report

Allie Simpson; Nick Mamalis; Christopher Gee; Roger P Harrie

doi:10.1186/s12886-023-02778-8

Large ciliary body melanocytoma with pseudocysts: a case report

BMC Ophthalmol. 2023 Jan 17;23(1):24. doi: 10.1186/s12886-023-02778-8.

Authors

Allie Simpson¹, Nick Mamalis², Christopher Gee³, Roger P Harrie⁴

Affiliations

¹ John A. Moran Eye Center, University of Utah, 65 N Mario Capecchi Dr, Salt Lake City, UT, 84132, USA. [email protected].
² John A. Moran Eye Center, University of Utah, 65 N Mario Capecchi Dr, Salt Lake City, UT, 84132, USA.
³ Salt Lake Retina, 3855 7800 S, #100, West Jordan, UT, 84088, USA.
⁴ John A. Moran Eye Center, University of Utah, 65 N Mario Capecchi Dr, Salt Lake City, UT, 84132, USA. [email protected].

Abstract

Background: To describe the correlation between standardized A-scan echography and histopathology in a ciliary body melanocytoma.

Case presentation: We present a case of a large ciliary body melanocytoma with significant growth, vision loss, and elevated intraocular pressure that was diagnosed clinically as a melanoma, but the standardized A-scan findings correlated to the histopathological description of a melanocytoma with multiple pseudocysts.

Conclusions: The reflectivity of this melanocytoma by standardized A-scan was consistent with multiple pseudocysts on pathological evaluation. This echographic pattern guided the differential diagnosis. Standardized A-scan is an important diagnostic tool in the differentiation of ciliary body melanocytomas from melanomas.

Keywords: A-scan; Case report; Melanocytoma; Pseudocysts.

Publication types

Case Reports

MeSH terms

Ciliary Body / pathology
Glaucoma* / pathology
Humans
Melanoma* / diagnosis
Melanoma* / pathology
Retinal Neoplasms* / pathology
Ultrasonography
Uveal Neoplasms* / diagnosis