Sudden and extensive growth of intraocular tumors like retinoblastoma and choroidal melanoma may result in the clinical presentation of sterile or aseptic orbital cellulitis. In such masquerading situations, ocular and orbital imaging plays a significant role. The treatment with steroids may provide a rapid recovery from the aggressive orbital inflammation. However, a high index of suspicion is vital for apt diagnosis and timely management.
VerityDHRoseGE.Infectious processes of the orbit. In: DMAlbertJWMiller (eds) Jakobiec’s principles and practices of ophthalmology. 3rd ed.
Philadelphia, PA:
Elsevier, 2008, pp. 2961–2971.
2.
BujaraK.Necrotic malignant melanomas of the choroid and ciliary body. Graefes Arch Clin Exp Ophthalmol1982;
219(1): 40–43.
3.
SinghADTophamA.Incidence of uveal melanoma in the United States: 1973-1997. Ophthalmology2003;
110(5): 956–961.
4.
FraserDJFontRL.Ocular inflammation and haemorrhage as the initial manifestation of uveal malignant melanoma—incidence and prognosis. Arch Ophthalmol1979;
97: 1311–1314.
5.
Histopathologic characteristics of uveal melanomas in eyes enucleated from the collaborative ocular melanoma study.
COMS report no. 6. Am J Ophthalmol1998;
125: 745–766.
NalcaciSPalamarMYamanB, et al.Choroidal malignant melanoma with no extraocular extension presenting as orbital cellulitis. Orbit2016;
35(5): 285–287.
8.
McLeanIWFosterWDZimmermanLE, et al.Modifications of Callender’s classification of uveal melanoma at the armed forces institute of pathology. Am J Ophthalmol1983;
96: 502–509.
9.
BiswasJAhujaVKShanmugamMP, et al.Malignant melanoma of the choroid presenting as orbital cellulitis: report of two cases with a review of the literature. Orbit1999;
18(2): 123–130.
10.
OhLJDunnHCherepanoffS, et al.Orbital cellulitis and secondary angle closure: a rare presentation of choroidal melanoma. Ocul Oncol Pathol2018;
4(2): 130–133.
11.
NairAGKalikiSAliMJ, et al.Intraocular malignant melanoma of the choroid presenting as orbital cellulitis. Int Ophthalmol2014;
34(3): 647–650.
12.
SinghPSenSBanerjeeM, et al.Choroidal melanoma masquerading as orbital cellulitis. BMJ Case Rep2018;
11(1): e227486.
