Necrotic melanocytoma of iris with secondary glaucoma

Am J Ophthalmol. 1977 Dec;84(6):826-9. doi: 10.1016/0002-9394(77)90505-0.


A 23-year-old white man had a pigmented iris tumor that was not enlarging; it produced satellite iris lesions, diffuse pigmentation of the trabecular meshwork, and secondary glaucoma. Although enucleation was initially recommended, we chose to remove only the primary lesion with a sector iridectomy. Histologically, the lesion proved to be a benign melanocytoma that had undergone extensive necrosis. Postoperatively, the satellite lesions, pigmentation in the angle, and glaucoma all resolved.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Eye Neoplasms / complications*
  • Eye Neoplasms / surgery
  • Follow-Up Studies
  • Glaucoma / etiology*
  • Glaucoma / surgery
  • Humans
  • Iris* / surgery
  • Male
  • Melanoma / complications*
  • Melanoma / surgery
  • Necrosis
  • Neoplasm Invasiveness
  • Trabecular Meshwork