A Case of a Corneal Melanoma with Superficial Stromal Involvement
|Frances Marie DC Roa and Archimedes Lee D Agahan*|
|Department of Ophthalmology and Visual Sciences, Sentro Oftalmologico Jose Rizal, Philippine General Hospital, University of the Philippines Manila, Taft Avenue, Ermita, Manila, Philippines|
|Corresponding Author :||Archimedes Lee D Agahan
Department of Ophthalmology and Visual Sciences
Sentro Oftalmologico Jose Rizal
Philippine General Hospital
University of the Philippines Manila
Taft Avenue, Ermita, Manila, Philippines 1000
Tel: (+632) 336-5203
E-mail: [email protected]
|Received October 09, 2013; Accepted December 13, 2013; Published December 23, 2013|
|Citation: Roa FMDC, Agahan ALD (2013) A Case of a Corneal Melanoma with Superficial Stromal Involvement. J Clin Exp Ophthalmol 4:316. doi:10.4172/2155-9570.1000316|
|Copyright: © 2013 Roa FMDC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
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Purpose: To report a rare case of a malignant corneal melanoma with superficial stromal involvement.
Methods: This is a report of a 43-year old male who developed a gradually enlarging pigmented mass on the temporal limbus extending to the cornea of the right eye, accompanied by blurred vision. Ultrasound biomicroscopy revealed no conjunctival involvement, but with possible penetration of the Bowman’s layer. The patient subsequently underwent an excision biopsy using the “no touch technique” with cryotherapy.
Results: On histopathologic examination, pigmented cells forming nests were seen extending from the corneal epithelium up to the stroma. This confirmed a diagnosis of corneal melanoma.
Conclusions: Although uncommon, melanomas can present in the cornea with involvement of the epithelium up to the stroma. Therefore, appropriate laboratory examinations are vital for the diagnosis of such cases. To prevent tumor seeding to adjacent tissues, excision without touching the tumor is advised.