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A Rare Case Of Primary Corneal Melanoma Treated With Excision Biopsy And Mitomycin C Naicker P.¹, L.K.Thavaratnam¹, Rohanah A¹, Zanariah A², Thiageswari U¹ ¹Department of Ophthalmology, Hospital Kuala Lumpur, Malaysia. Purpose: To report a rare case of primary corneal melanoma. Method: Case report Case: A 58 year old Indonesian man presented with a growth in the left eye associated with diminished vision of 5 year duration. Examination revealed a fleshy pigmented lesion over the temporal aspect of the left cornea. Excision biopsy of the lesion was done and the patient was then treated with topical Mitomycin C 0.02% eye drops. Results: Histopathological examination revealed features in keeping with primary acquired melanosis with atypical melanocytic hyperplasia (mild atypia). Conclusion: Although very uncommon, possible diagnosis of primary corneal melanoma should be considered in cases with pigmented lesions of the cornea sparing the limbus and conjunctiva. Treatment with surgery and Mitomycin C is proving to be an effective form of management as demonstrated in this case. |
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