Journal of Clinical and Experimental Ophthalmology
Open Access

Department of Ophthalmology, Oslo University Hospital, Oslo, Norway

Publications

• Case Report   
  A 47-Year-Old Woman with a History of Tularemia and Regression of an Untreated Juxtapapillary Amelanotic Choroidal Malignant Melanoma More than Four Decades Following Initial Diagnosis
  Author(s): Nils Andreas Eide, Per Syrdalen and Jesintha Navaratnam*
  
  Background: We report a case of a symptomatic small Uveal Melanoma (UM) followed for 4 decades, the most common primary intraocular tumor that regressed almost completely after an infectious disease, Tularemia, caused by Francisella tularensis. Case presentation: In 1981, a 47-year old nurse was diagnosed with a left-sided amelanotic juxtapapillary lesion presumed to be a melanoma. In 1985, the visual acuity decreased to 0.5. The tumor became increasingly pigmented and Sub-Retinal Fluid (SRF) was observed. Ultrasound B-scan demonstrated findings characteristic of a UM. Enucleation was not recommended due to small size and useful vision. The lesion was evaluated annually with fundus images and ultrasound B-scan. In 1993, an epidemic nephropathy presented with anuria. The serum tests, Immunoglobulin M (IgM) and IgG,.. View More»
  DOI: 10.35248/2155-9570.23.14.963

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