Uveal melanoma is the most common primary intraocular tumor in adults and can have varying presentations, although it is frequently asymptomatic. One rare presentation of uveal melanoma is neovascular glaucoma (NVG). We present a case of a 20-year-old male who presented with 2 weeks of left eye redness and decreased vision who was found to have NVG. He was referred for evaluation of glaucoma. Fundoscopic and ultrasonographic examination revealed a mushroom-shaped choroidal mass with low internal reflectivity consistent with choroidal melanoma. The patient underwent enucleation, and metastatic workup revealed hepatic metastases. The patient died 18 months after initial diagnosis. This case emphasizes the importance of a complete ophthalmic evaluation in cases presenting with NVG of unclear etiology to exclude the presence of a potentially life-threatening intraocular tumor.
Case Rep Ophthalmol 2021;12:791–796

中文翻译：

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转移性脉络膜黑色素瘤表现为新生血管性青光眼

葡萄膜黑色素瘤是成人中最常见的原发性眼内肿瘤，可以有不同的表现，但通常没有症状。葡萄膜黑色素瘤的一种罕见表现是新生血管性青光眼 (NVG)。我们介绍了一个 20 岁男性的病例，他因左眼发红和视力下降 2 周而被发现患有 NVG。他被转诊为青光眼评估。眼底镜和超声检查显示蘑菇状脉络膜肿块，内部反射率低，与脉络膜黑色素瘤一致。患者接受了摘除术，转移性检查发现肝转移。患者在初步诊断后 18 个月死亡。
Case Rep Ophthalmol 2021；12:791–796