Which clinical history findings are characteristic of intraocular tumors?

Updated: Jun 25, 2020
  • Author: Andrew A Dahl, MD, FACS; Chief Editor: Hampton Roy, Sr, MD  more...
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Answer

Symptoms vary depending on the location of the ocular tumor.

Glaucoma symptoms are dependent on the speed at which the pressure rises. With acute glaucoma from angle closure, decreased vision, halos around lights, ocular pain, and nausea may be present. With chronic glaucoma with progressive angle closure or open angles, no ocular symptoms related to the elevation of intra-ocular pressure may be present.

With iris melanoma, a hyperchromic heterochromia may be present.

With a ciliary body melanoma, a distorted pupil or vision change from lenticular astigmatism may occur.

With choroid melanoma, the visual symptoms may be decreased vision or a change in the peripheral vision, depending on the location of the tumor.

Patients with choroidal melanoma may present with an indolent, low-grade, anterior uveitis.

Melanocytoma of the optic disk is usually asymptomatic.


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