Phacomorphic Glaucoma as a First Manifestation of the Uveal Malignant Melanoma: a Case Report

Purpose: To describe a case of choroidal melanoma that present with the first presentation of phacomorphic glaucoma. Methods: A 63-year-old woman was presented with painful visual loss of the left eye. Mature cataract, flat anterior chamber and elevated intraocular pressure were noticed in clinical examination. B mode ultrasonographyand CT-Scan showed large intraocular mass. Results: Enucleation was done and pathological analysis was compatible with uveal melanoma. Conclusion: The presence of mature cataract obscured the fundus view in patients with phacomorphic glaucoma. Complete ultrasonographic examination or other appropriate imaging techniques should performed to detect the potential posterior segment pathologies.