eMedicine Specialties > Ophthalmology > Iris & Ciliary Body
Melanoma, Iris: Follow-up
Updated: Jul 11, 2008
Follow-up
Further Outpatient Care
- Patients should receive follow-up care as needed. They need to be monitored periodically for lesion recurrence and metastatic development as warranted.
Deterrence/Prevention
- Exposure to ultraviolet light should be minimized.
Complications
Prognosis
- Prognosis is generally good in terms of survival, with a mortality rate of 0-3% in the absence of ciliary body involvement.
- Metastases can occur in 2-3.5% of cases of iris melanomas alone, with higher rates in cases of ciliary body involvement.
Miscellaneous
Medicolegal Pitfalls
- Glaucoma filtering surgery should not be performed in eyes with a potential iris melanoma because it may allow systemic dissemination of the tumor cells.
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| Treatment & Medication: Melanoma, Iris |
Follow-up: Melanoma, Iris |
| References |
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References
Shields JA, Sanborn GE, Augsburger JJ. The differential diagnosis of malignant melanoma of the iris. A clinical study of 200 patients. Ophthalmology. Jun 1983;90(6):716-20. [Medline].
Torres VL, Allemann N, Erwenne CM. Ultrasound biomicroscopy features of iris and ciliary body melanomas before and after brachytherapy. Ophthalmic Surg Lasers Imaging. Mar-Apr 2005;36(2):129-38. [Medline].
Jakobiec FA, Silbert G. Are most iris "melanomas' really nevi? A clinicopathologic study of 189 lesions. Arch Ophthalmol. Dec 1981;99(12):2117-32. [Medline].
Arentsen JJ, Green WR. Melanoma of the iris: report of 72 cases treated surgically. Ophthalmic Surg. Summer 1975;6(2):23-37. [Medline].
Ashton N. Primary tumours of the iris. Br J Ophthalmol. 1964;48.
Ashton N, Wybar K. Primary tumours of the iris. Ophthalmologica. 1966;151(1):97-113. [Medline].
Char DH. Anterior uveal tumors. Clinical Ocular Oncology. 1989.
Damato B, Lecuona K. Conservation of eyes with choroidal melanoma by a multimodality approach to treatment: an audit of 1632 patients. Ophthalmology. May 2004;111(5):977-83. [Medline].
Finger PT. Plaque radiation therapy for malignant melanoma of the iris and ciliary body. Am J Ophthalmol. Sep 2001;132(3):328-35. [Medline].
Holland G. [On the clinical features and pathology of pigment tumors of the iris]. Klin Monatsbl Augenheilkd. Apr 1967;150(3):359-70. [Medline].
Litricin O. Diffuse malignant ring melanoma of the iris and ciliary body. Ophthalmologica. 1979;178(4):235-8. [Medline].
Rones B, Zimmerman LE. The production of heterochromia and glaucoma by diffuse malignant melanoma of the iris. Trans Am Acad Ophthalmol Otolaryngol. Jul-Aug 1957;61(4):447-63. [Medline].
Rones B, Zimmerman LE. The prognosis of primary tumors of the iris treated by iridectomy. AMA Arch Ophthalmol. Aug 1958;60(2):193-205. [Medline].
Rootman J, Gallagher RP. Color as a risk factor in iris melanoma. Am J Ophthalmol. Nov 1984;98(5):558-61. [Medline].
Further Reading
Keywords
iris melanoma, iris melanomas, iris nevus, iris nevi, iris tumors, tumors of the iris, iris lesions
Follow-up: Melanoma, Iris