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Post-traumatic scleromalacia.

Abstract We here report the case of a 18-year old patient who was referred for evaluation of pigmented subconjunctival tumor of the left eye mimicking uveal melanoma. The patient reported that the lesion had evolved rapidly during the previous months. Eye exam showed prominent dark brown lesion adjacent to the limbus between 3 and 9 hours, measuring 10 mm x 6 mm (A). Ultrasonographic biomicroscopy revealed cystic structure communicating with the vitreous cavity, suggesting the diagnosis of uveal hernia rather of melanoma. During a more thorough interview, the patient reported that he had undergone transfixing keratoplasty for cloudy patch secondary to blunt trauma from stone's throw dating back 10 years. We assumed that the scleral wall had been damaged, leading to the development of scleromalacia with uveal hernia. The patient had recently had an acute episode of vomiting which could have lead to an increase in lesion size. The patient was followed up for several weeks, during which the lesion was stable. The patient underwent surgery with successful uveal tissue reintegration and sclera closure (B).
PMID
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Authors

Mayor MeshTerms
Keywords

Scleromalacia

melanoma

trauma

Journal Title the pan african medical journal
Publication Year Start




PMID- 29515734
OWN - NLM
STAT- MEDLINE
DCOM- 20180313
LR  - 20180313
IS  - 1937-8688 (Electronic)
VI  - 28
DP  - 2017
TI  - [Post-traumatic scleromalacia].
PG  - 116
LID - 10.11604/pamj.2017.28.116.12267 [doi]
AB  - We here report the case of a 18-year old patient who was referred for evaluation 
      of pigmented subconjunctival tumor of the left eye mimicking uveal melanoma. The 
      patient reported that the lesion had evolved rapidly during the previous months. 
      Eye exam showed prominent dark brown lesion adjacent to the limbus between 3 and 
      9 hours, measuring 10 mm x 6 mm (A). Ultrasonographic biomicroscopy revealed
      cystic structure communicating with the vitreous cavity, suggesting the diagnosis
      of uveal hernia rather of melanoma. During a more thorough interview, the patient
      reported that he had undergone transfixing keratoplasty for cloudy patch
      secondary to blunt trauma from stone's throw dating back 10 years. We assumed
      that the scleral wall had been damaged, leading to the development of
      scleromalacia with uveal hernia. The patient had recently had an acute episode of
      vomiting which could have lead to an increase in lesion size. The patient was
      followed up for several weeks, during which the lesion was stable. The patient
      underwent surgery with successful uveal tissue reintegration and sclera closure
      (B).
FAU - Elyadari, Mohamed
AU  - Elyadari M
AD  - Service d'Ophtalmologie B, Hopital des Specialites, CHU Ibn Sina Rabat, Quartier 
      Souissi, 6220 Rabat, Maroc.
FAU - Berraho, Amina
AU  - Berraho A
AD  - Service d'Ophtalmologie B, Hopital des Specialites, CHU Ibn Sina Rabat, Quartier 
      Souissi, 6220 Rabat, Maroc.
LA  - fre
PT  - Case Reports
PT  - Journal Article
TT  - Scleromalacie post traumatique.
DEP - 20171006
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
RN  - Uveal melanoma
SB  - IM
MH  - Adolescent
MH  - Eye Injuries/*complications
MH  - Humans
MH  - Male
MH  - Melanoma/*diagnosis
MH  - Microscopy, Acoustic/*methods
MH  - Scleral Diseases/*diagnosis/etiology/surgery
MH  - Uveal Neoplasms/*diagnosis
PMC - PMC5837136
OTO - NOTNLM
OT  - Scleromalacia
OT  - melanoma
OT  - trauma
EDAT- 2018/03/09 06:00
MHDA- 2018/03/14 06:00
CRDT- 2018/03/09 06:00
PHST- 2017/03/15 00:00 [received]
PHST- 2017/03/27 00:00 [accepted]
PHST- 2018/03/09 06:00 [entrez]
PHST- 2018/03/09 06:00 [pubmed]
PHST- 2018/03/14 06:00 [medline]
AID - 10.11604/pamj.2017.28.116.12267 [doi]
AID - PAMJ-28-116 [pii]
PST - epublish
SO  - Pan Afr Med J. 2017 Oct 6;28:116. doi: 10.11604/pamj.2017.28.116.12267.
      eCollection 2017.