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Acute Presentation of Mesectodermal Leiomyoma of the Ciliary Body.

Publication ,  Journal Article
Kim, JM; Hall, LB; Elia, M; Ehrlich, MS; Materin, MA; Sinard, JH
Published in: Ocul Oncol Pathol
November 2017

PURPOSE: We report a case of acutely presenting mesectodermal leiomyoma of the ciliary body in a 29-year-old female who reported waking up with swollen eyelids of the right eye and light-perception vision. The affected eye had elevated intraocular pressure, a flat anterior chamber, and a pale, round mass arising from the nasal ciliary body, invading the angle and protruding into the visual axis posterior to the lens. Within days, the visual acuity decreased to no light perception. The eye was enucleated. METHODS: The enucleated eye harbored a tumor arising from the ciliary body, measuring 18 mm in the greatest dimension. Spindled cells with fibrillary cytoplasmic processes suggested a neural origin though negative for S-100, Melan-A, and HMB-45. The cells stained strongly positive for smooth muscle actin and vimentin, leading to the diagnosis of mesectodermal leiomyoma of the ciliary body. RESULTS: We review the literature to expand upon the clinical findings, diagnostic methods, and histopathologic and immunohistochemistry characteristics of mesectodermal leiomyoma. CONCLUSION: Leiomyoma must be in the differential diagnosis for ciliary body mass, especially in women of reproductive age. Diagnosis relies on histopathology and immunohistochemistry. The mechanism of acute symptom onset may be multifactorial. This case emphasizes the possibility of acute presentation of a rare, benign intraocular tumor.

Duke Scholars

Published In

Ocul Oncol Pathol

DOI

ISSN

2296-4681

Publication Date

November 2017

Volume

3

Issue

4

Start / End Page

304 / 309

Location

Switzerland
 

Citation

APA
Chicago
ICMJE
MLA
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Kim, J. M., Hall, L. B., Elia, M., Ehrlich, M. S., Materin, M. A., & Sinard, J. H. (2017). Acute Presentation of Mesectodermal Leiomyoma of the Ciliary Body. Ocul Oncol Pathol, 3(4), 304–309. https://doi.org/10.1159/000464466
Kim, Jenna May, Laura Bressler Hall, Maxwell Elia, Michael S. Ehrlich, Miguel A. Materin, and John H. Sinard. “Acute Presentation of Mesectodermal Leiomyoma of the Ciliary Body.Ocul Oncol Pathol 3, no. 4 (November 2017): 304–9. https://doi.org/10.1159/000464466.
Kim JM, Hall LB, Elia M, Ehrlich MS, Materin MA, Sinard JH. Acute Presentation of Mesectodermal Leiomyoma of the Ciliary Body. Ocul Oncol Pathol. 2017 Nov;3(4):304–9.
Kim, Jenna May, et al. “Acute Presentation of Mesectodermal Leiomyoma of the Ciliary Body.Ocul Oncol Pathol, vol. 3, no. 4, Nov. 2017, pp. 304–09. Pubmed, doi:10.1159/000464466.
Kim JM, Hall LB, Elia M, Ehrlich MS, Materin MA, Sinard JH. Acute Presentation of Mesectodermal Leiomyoma of the Ciliary Body. Ocul Oncol Pathol. 2017 Nov;3(4):304–309.
Journal cover image

Published In

Ocul Oncol Pathol

DOI

ISSN

2296-4681

Publication Date

November 2017

Volume

3

Issue

4

Start / End Page

304 / 309

Location

Switzerland