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Eye Tumors Misdiagnosed as Glaucoma

Eye Tumors Misdiagnosed as Glaucoma
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摘要 INTRODUCTION Eye tumors can show diverse clinical signs.They can be misdiagnosed as glaucoma because of red eye,pain,severe headache,elevated intraocular pressure (IOP),even adhesion of the angle of the anterior chamber.In a study by Shields et al.,[1] 58 in 144 (40%) of patients with iris melanoma were diagnosed as glaucoma on their initial visit.However,special clinical characteristics,ophthalmic examination,and imaging technology can assist in making the right diagnosis.Ultrasound examinations,high-resolution ultrasound biomicroscopy (UBM),fluorescein angiography,optical coherence tomography,computerized tomography (CT),magnetic resonance imaging (MRI),and fine-needle aspiration biopsy are technologies that may help with early tumor detection.In this study,we highlighted the importance of correctly diagnosing tumor-related glaucoma through the review of nine cases that were initially misdiagnosed as glaucoma. INTRODUCTION Eye tumors can show diverse clinical signs.They can be misdiagnosed as glaucoma because of red eye,pain,severe headache,elevated intraocular pressure (IOP),even adhesion of the angle of the anterior chamber.In a study by Shields et al.,[1] 58 in 144 (40%) of patients with iris melanoma were diagnosed as glaucoma on their initial visit.However,special clinical characteristics,ophthalmic examination,and imaging technology can assist in making the right diagnosis.Ultrasound examinations,high-resolution ultrasound biomicroscopy (UBM),fluorescein angiography,optical coherence tomography,computerized tomography (CT),magnetic resonance imaging (MRI),and fine-needle aspiration biopsy are technologies that may help with early tumor detection.In this study,we highlighted the importance of correctly diagnosing tumor-related glaucoma through the review of nine cases that were initially misdiagnosed as glaucoma.
出处 《Chinese Medical Journal》 SCIE CAS CSCD 2015年第2期273-276,共4页 中华医学杂志(英文版)
关键词 Eye Tumor: Misdiagnosis Primary Glaucoma Secondary Glaucoma Eye Tumor: Misdiagnosis Primary Glaucoma Secondary Glaucoma
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参考文献5

  • 1Shields CL, Shah SU, Bianciotto CG, Emrich 1, Komarnicky L, Shields lA. Iris melanoma management with iodine-125 plaque radiotherapy in 144 patients: Impact of melanoma-related glaucoma on outcomes. Ophthalmology 2013; 120:55-61.
  • 2Radcliffe NM, Finger PT. Eye cancer related glaucoma: Current concepts. Surv Ophthalmol 2009;54:47-73.
  • 3Barsky D. Unusual tumor of the iris: A rare initial clinical manifestation of metastatic adenocarcinoma of the tail of the pancreas. Ann Ophthalmol 1978; I 0: 1539-43.
  • 4Garcia-Feijoo 1, Encinas lL, Mendez-Hernandez C, Ronco IS, Martinez de la Casa 1M, Garcia Sanchez J. Medulloepithclioma of the ciliary body: Ultrasonographic biomicroscopic findings . .I Ultrasound Med 2005;24:247-50.
  • 5Pasternak S, ErwenneCM, Nicolela MT. Subconjunctival spreadofciliary body melanoma after glaucoma filtering surgery: A clinicopathological case report. Can 1 Ophthahnol 2005;40:69-71.

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