TITLE

Ocular diseases in metastatic cutaneous melanoma: review of 108 consecutive patients in two German tertiary centers

AUTHOR(S)
Grajewski, Rafael; Schuler-Thurner, Beatrice; Mauch, Cornelia; Kreuzberg, Nicole; Koch, Konrad; Bergua, Antonio; Cursiefen, Claus; Heindl, Ludwig
PUB. DATE
April 2014
SOURCE
Graefe's Archive of Clinical & Experimental Ophthalmology;Apr2014, Vol. 252 Issue 4, p679
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Purpose: To analyze the incidence and spectrum of ocular disease in patients with metastatic cutaneous melanoma. Methods: One hundred and eight consecutive patients with metastatic cutaneous melanoma were screened for ocular diseases using standardized eye examination, including measurement of visual acuity and intraocular pressure, slit-lamp examination, funduscopy in mydriasis, and spectral-domain optical coherence tomography (SDOCT) of the retina. Selected cases with atypical findings underwent electrophysiological studies. One patient was examined for hypercortisolism by a dexamethasone suppression test. Results: Ocular diseases were found in 65 out of 108 patients (60 %) with metastatic cutaneous melanoma, significantly more often in older patients ( p = 0.004). Cataract was present in 27 patients (25 %), pseudophakia in 22 patients (20 %), macular disease in 29 patients (28 %), diabetic retinopathy in ten patients (9 %), hypertensive retinal disease in 14 patients (13 %), retinal venous and arterial occlusive disease in three patients (3 %), optic neuropathy in four patients (4 %), and uveitis in one patient (1 %). Eight patients (8 %) had choroidal or iridal nevi, one patient (1 %) choroidal hemangioma, and one patient (1 %) choroidal metastasis. No patient had periocular neoplastic lesions. Paraneoplastic retinopathy manifesting as acute exudative polymorphous vitelliform maculopathy (AEPVM)-like disease was diagnosed in two patients (2 %) with multifocal central serous chorioretinopathy and development of vitelliform or fibrin-like subretinal deposits in one patient. Conclusions: Patients with metastatic cutaneous melanoma reveal ocular diseases with a spectrum similar to the normal population of this age range. Very rarely, uveal metastasis as well as paraneoplastic retinopathy can occur.
ACCESSION #
95124042

 

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics