Oman Journal of Ophthalmology

CASE REPORT
Year
: 2013  |  Volume : 6  |  Issue : 1  |  Page : 53--55

Iris melanoma in children: Current approach to management


John P McLaughlin1, Adrian T Fung2, Jerry A Shields1, Carol L Shields1 
1 The Ocular Oncology Service, Wills Eye Institute, Thomas Jefferson University, Philadelphia, PA, USA
2 Retina Associates of Australia, Australia

Correspondence Address:
Carol L Shields
Ocular Oncology Service, Suite 1440, Wills Eye Institute, 840 Walnut Street, Philadelphia, PA, 19107
USA

Iris melanoma usually affects middle aged, Caucasian patients with light colored eyes. Pediatric iris melanoma is rare. A 15-year-old Caucasian male presented with 1-month history of a brown nodule in the inferotemporal aspect of his left eye. Iris nevus was diagnosed, and the patient was observed. Nearly 2 years later the lesion had grown in basal diameter and thickness, and the tumor was excised by partial lamellar scleral flap and sector iridectomy. Histopathology confirmed spindle cell iris melanoma. Two years post-operatively, tumor recurrence with anterior chamber angle involvement and secondary glaucoma developed. He was then treated with custom designed Iodine 125 plaque radiotherapy. This case demonstrates the recurrence of iris melanoma despite proper initial surgical management, and outlines current management options for pediatric iris melanoma.


How to cite this article:
McLaughlin JP, Fung AT, Shields JA, Shields CL. Iris melanoma in children: Current approach to management.Oman J Ophthalmol 2013;6:53-55


How to cite this URL:
McLaughlin JP, Fung AT, Shields JA, Shields CL. Iris melanoma in children: Current approach to management. Oman J Ophthalmol [serial online] 2013 [cited 2021 Jan 22 ];6:53-55
Available from: https://www.ojoonline.org/article.asp?issn=0974-620X;year=2013;volume=6;issue=1;spage=53;epage=55;aulast=McLaughlin;type=0