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Diagnosis of a Ciliary Body Melanoma in an Advanced Stage - A Case Report

1Jurkutat S., 1Dawczynski J., 1Voigt U., 2Behrend W., 3Hyckel P.,
1Friedrich-Schiller-Universität Jena, Klinik für Augenheilkunde (Jena)
2Friedrich-Schiller-Universität Jena, Institut für Diagnostische und Interventionelle Radiologie (Jena)
3Friedrich-Schiller-Universität Jena, Klinik für Mund-, Kiefer- und Gesichtschirurgie (Jena)

Background: The choroidal/ciliary body malanoma is one of the most frequent intraoculare malignant tumors in adults. It is potential life-threatening. The missing symptoms at an early stage of the ciliary body melanoma make a clear diagnosis difficult.
Patient and Method: A 54 year old client who had suffered for three days from red eyes with sensation of pressure and increased visual impairment applied to our consulting hour. A large solid room demand starting from the ciliary body with a typical melanoma a-scan was shown in the ultrasound imaging. A clear statement of the scleral infiltration could not be made with the orbita-MRI because of an insignificant resolution. Due to a high-resolution ocular coil a skleral perforation was recognisable, and this result was confirmed intrasurgically.
Conclusions: The melanoma of the ciliary body represents clinically a diagnostic challenge. Ultrasound-methods play an important role for making a clear diagnosis. The MRI with high-resolution surface coil is an appropriate tool for the diagnosis of the local extension.