Amiryan A.G., Panferova O.V., Saakyan S.V. Inadequate management of patients with uveal melanoma (Analysis of three clinical cases). Head and neck. Russian Journal. 2021;9(3):67–71 (In Russian). The authors are responsible for the originality of the data presented and the possibility of publishing illustrative material – tables, figures, photographs of patients.


Introduction. Uveal melanoma (UM) is the most common primary malignant intraocular tumor in adults. Early detection of UM makes it possible to increase the number of cases of organ-preserving treatment, reduce the risk of metastasis, and preserve residual eye functions. Inadequate management of patients with UM can lead to serious undesirable consequences.

Clinical case. Three clinical cases of inadequate diagnosis and surgical treatment of patients with UM at the place of residence are presented. During the examination at the Helmholtz National Medical Research Center of Eye Diseases, the UM was detected, enucleation was performed. The diagnosis of the tumor was confirmed by histological examination of the removed eye.

Conclusion. Cancer vigilance is one of the important factors in the diagnosis of patients with various ophthalmic pathologies. Examination of patients should be comprehensive, with the mandatory inclusion of ultrasound scanning in the plan. Correct diagnosis will reduce the number of mutilating surgical operations and maintain the treatment quality in patients with such a serious oncopathology of the organ of vision.

Key words: uveal melanoma, diagnosis, echography, secondary cataract, secondary glaucoma, vitrectomy, enucleation, cancer vigilance

Conflicts of interest. The authors have no conflicts of interest to declare.

Funding. There was no funding for this study.

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