Bilateral Diffuse Uveal Melanocytic Proliferation Initially Presented as Glaucoma

ABSTRACT

Purpose

To report a bilateral diffuse uveal melanocytic proliferation (BDUMP) patient whose initial presentation was glaucoma.

Methods

Clinical review of a BDUMP case.

Results

A 65-year-old woman presented with ocular pain of the left eye for 1 day and vision loss of the right eye for 1 week. An ophthalmological examination revealed increased intraocularr pressure in the left eye and shallow anterior chamber in both eyes. BDUMP was diagnosed following a series of auxiliary examinations. After 1.5 years of follow-up, progressive cataracts appeared, and the patient accepted cataract surgery in both eyes. Visual acuity improved from light perception to 20/100 in both eyes 1.5 years after cataract surgery, but declined to light perception again at the last follow-up.

Conclusion

BDUMP can be initially presented as glaucoma, and cataract surgery can be considered in BDUMP patients in order to improve the patients’ quality of life, even if exudative retinal detachment exists.

KEYWORDS:

• Bilateral diffuse uveal melanocytic proliferation
• glaucoma
• cataract surgery

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This work was supported by the Open Project of Tianjin Key Laboratory of Retinal Functions and Diseases under Grant 2020tjswmq003; Youth Special Fund of Clinical Research of Tianjin Medical University Eye Hospital under Grant 2020QN02; and Tianjin Key Medical Discipline (Specialty) Construction Project. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.