Dr.Abhisek Mondal, M19086
A 65 year old female, presented with a 2.5 year history of a slowly growing painless pigmented mass in the left eye.
Corrected vision was 6/6 in both eyes. Slit lamp examination showed a large pigmented black mass in the temporal side of the left eye over cornea and conjunctiva. No data of prior primary acquired melanosis or nevus.
The size of the mass was 1.4×0.6×0.7 cm with rich feeder vessels. B-scan showed normal retina and choroid. MRI of brain, all standard blood tests, X ray of lungs, ECG and USG abdomen were normal.
It was treated by wide resection (4 mm margin) with “no-touch” technique and double freeze thaw cryotherapy. Alcohol epitheliectomy of the cornea was done. Complication was accidental resection of lateral rectus which was instantly sutured. FNAC of the parotid, preauricular and submandibular lymph node was normal. After 6 months, the conjunctiva and the cornea were healthy.
Early detection and treatment of melanomas can prevent its spread and mortality.
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