Endoresection of Irradiated Choroidal Melanoma as a Treatment for Intractable Vitreous Hemorrhage and Secondary Blood-Induced Glaucoma

Abstract

A 50-year-old man presented with uncontrolled erythroclastic glaucoma and recurrent vitreous hemorrhage from a previously irradiated choroidal melanoma. Despite trabeculectomy, intraocular pressure became uncontrolled due to increasing bleeding from the melanoma. The vitreous hemorrhage became voluminous and could not be stopped with multiple vitrectomies with endolaser, transpupillary thermotherapy, and transscleral laser. Endoresection of the regressed tumor and its bleeding vasculature resulted in immediate cessation of the bleeding and control of the intraocular pressure.

KEYWORDS:

• choroidal melanoma
• blood-induced glaucoma
• vitreous hemorrhage
• endoresection