Journal of the Chinese Medical Association
Volume 71, Issue 10 , Pages 546-548, October 2008

Diode Laser Transscleral Cyclophotocoagulation in the Treatment of Refractory Glaucoma with Iris Melanocytoma

  • Mei-Ju Chen

      Affiliations

    • Department of Ophthalmology, Taipei, Taiwan, R.O.C.
    • Department of Ophthalmology, Taipei, Taiwan, R.O.C.
    • ,
  • Jui-Ling Liu

      Affiliations

    • Department of Ophthalmology, Taipei, Taiwan, R.O.C.
    • Department of Ophthalmology, Taipei, Taiwan, R.O.C.
    • Corresponding Author InformationCorrespondence to: Dr Jui-Ling Liu, Department of Ophthalmology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C.
    • ,
  • Wing-Yin Li

      Affiliations

    • Department of Pathology, Taipei Veterans General Hospital, Taipei, Taiwan, R.O.C.
    • Department of Pathology, National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.
    • ,
  • Fenq-Lih Lee

      Affiliations

    • Department of Ophthalmology, Taipei, Taiwan, R.O.C.
    • Department of Ophthalmology, Taipei, Taiwan, R.O.C.
    • ,
  • Ching-Kuang Chou

      Affiliations

    • Department of Ophthalmology, Taipei, Taiwan, R.O.C.
    • Department of Ophthalmology, Taipei, Taiwan, R.O.C.
    • ,
  • Wen-Ming Hsu

      Affiliations

    • Department of Ophthalmology, Taipei, Taiwan, R.O.C.
    • Department of Ophthalmology, Taipei, Taiwan, R.O.C.

Received 30 August 2007; accepted 8 May 2008.

Article Outline

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.

Key Words:  glaucoma , iris melanocytoma , transscleral cyclophotocoagulation

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References 

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PII: S1726-4901(08)70166-7

doi:10.1016/S1726-4901(08)70166-7

Journal of the Chinese Medical Association
Volume 71, Issue 10 , Pages 546-548, October 2008

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