Malignancy in the blind painful eye - report of two cases and literature review

• Autor(a) principal: Pereira, Patricia Rusa [UNIFESP]
• Data de Publicação: 2006
• Outros Autores: Odashiro, Alexandre Nakao [UNIFESP], Souza Filho, Joao Pessoa [UNIFESP], Saraiva, Vinicius S. [UNIFESP], Camoriano, David Gerardo, Burnier, Miguel N. [UNIFESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1186/1746-1596-1-45; http://repositorio.unifesp.br/handle/11600/28617

Background: Few cases of malignant tumors arising in a blind painful eye have previously been described. We described two cases of a blind painful eye containing an unsuspected tumor, which were enucleated to relieve the pain.Case presentations: Case 1: A 57 year-old Caucasian man presented with recurrent orbital cellulitis and endophthalmitis in the left eye (OS). the OS was blind and painful and an enucleation was performed showing a uveal melanoma by histopathological exam. Case 2: A 54 year-old Caucasian man with previous history of a rhegmatogenous retinal detachment in his left eye presented a blind painful eye. Enucleation was performed revealing a well-differentiated B-cell lymphoma of uveal tract with extra ocular extension.Conclusion: in the management of a blind painful eye, it is extremely important to rule out an intraocular malignancy particularly in those patients who have not been followed by an ophthalmologist.