Program Book

Ocular Oncology Service, St Bartholomew`s Hospital and Moorfields Eye
Hospital, London, UK
Purpose. A 67-year old Caucasian man presented with rapidly reducing
vision in the right eye. Reduced vision was attributed to cataract and he
underwent routine cataract surgery. However, intraoperatively a solid
mass was noted. The patient was referred to the Ocular Oncology Service.
Methods. Transillumination did not reveal a clear shadow and B scan
ultrasound revealed a ciliary body mass with internal blood flow and
medium internal reflectivity. An incisional biopsy was performed. The
histology results are discussed. A diagnosis of ciliary body adenoma of
the non-pigmented epithelium (NPCE adenoma) was made.
Results. One year later, patient developed hyperemia with blurred vision
in the affected eye. He had marked episcleral injection, an oedematous
cornea, marked rubeosis and angle closure. The intraocular pressure
was 42 mmHg. The ciliary body adenoma remained unchanged .
The tumour was treated with plaque radiotherapy (Ru-106) in order to
restrict the neovascular response. Treatment was successful in reducing
the tumour size on B-scan ultrasonography. Intracameral injections of
bevacizumab where required pre- and postoperatively to control the rubeosis.
Conclusions. To our knowledge, this is the first report of neovascular
glaucoma secondary to a ciliary body adenoma.
Financial disclosure. None
1934 RF13
CHOROIDAL NEVUS...CHOROIDAL NEVUS?
Miguel A. Materin, Ruth Halaban, Antonella Bacchiocchi (miguel.materin@yale.edu)
Yale School of Medicine
Purpose. 10 years follow up on a typical choroidal nevus
Conclusions. To be discussed at the meeting.
Financial disclosure. None
2312 RF14
MUSHROOM SHAPED TUMOR. MELANOMA OR NOT?
Jerry Shields, MD (jerryshields@comcast.net)
Wills Eye Institute
Purpose. To present a mushroom shaped tumor
Methods. Review of case
Results. Diagnosis and management
Conclusions. A mushroom shaped tumor could be melanoma or
something else.
Financial disclosure. None
104 RF15
AMELANOTIC INTRAOCULAR LESION IN A 26 YEAR-
OLD FEMALE PATIENT
Luiz F. Teixeira1,2, Carla R. D. Macedo2, Carlos A.G. Filho1, Camila H.
Hashimoto2, Marcia Lowen3, Maria C. Martins1 (luizfteixeira@hotmail.com)
1. Department of Ophthalmology- Federal University of Sao Paulo-
UNIFESP
2. Pediatric Oncology Institute/GRAACC/UNIFESP
3. Department of Pathology- Federal University of Sao Paulo
Rapid Fire Cases
Abstracts
77
Purpose. A 26 year-old female patient presented with an unusual
intraocular lesion. It will be presented as a mysterious case for
discussion.
Financial disclosure. None
2328 RF16
PIGMENTED ANTERIOR SEGMENT TUMOR IN A YOUNG
MAN
Carolina M. Gentile, Camila Challiol, Atilio Lombardi, J. Oscar Croxatto
(carolina.gentile@gmail.com)
Hospital Italiano de Buenos Aires, Argentina
Purpose. The aim of the presentation is to discuss the diagnosis and
management of an anterior melanocytic segment tumor in a young adult.
Methods. A 38 years-old male high mountain climber presented with a
growing anterior segment pigmented mass. Diagnosis and management
will be discussed with the audience. It will be presented as an unknown
case for opinions.
Results. Fine needle aspiration biopsy was performed and the diagnosis
was melanocytoma.
Conclusions. Anterior uveal melanocytomas are uncommon benign
melanocytic tumors. Despite the benign nature of iris melanocytoma,
growth was observed and histologic confirmation was necessary to
establish a diagnosis and ruled out malignancy.
Financial disclosure. None
2254 RF17
AMELANOTIC CHOROIDAL MASS EXTENDING TO THE
FOVEA
Zelia M. Correa, MD, PhD, James J. Augsburger, MD (correazm@uc.edu)
Dept of Ophthalmology, University of Cincinnati, Cincinnati, OH, USA
Purpose. Case presentation
Methods. A 66-year-old asymptomatic Caucasian female was found to
have a choroidal mass measuring 14 X 12 mm in base and 2.5 mm in
thickness, extending to the fovea +/- SRF on routine eye exam.
Results. The importance of accurate diagnosis will be discussed.
Conclusions. Clinical diagnosis impacts management decision.
Financial disclosure. None
29 RF18
PIGMENTED CHOROIDAL TUMOR
Jacob Pe’er, MD, Shahar Frenkel, MD, PhD
(peer@hadassah.org.il)
Specialized Ocular Oncology Service, Department of Ophthalmology,
Hadassah - Hebrew University Medical Center, Jerusalem, Israel
Purpose. An 84-year-old woman presented with elevated (6.9 mm)
pigmented lesion with retinal and choroidal hemorrhage around it.
The lesion was diagnosed as choroidal melanoma and treated using
brachytherapy, with good response.
One year later regrowth was noticed, and the eye was enucleated.
There was a surprise in the histopathologic examination.
Financial disclosure. None