Abstract：
To describe the natural history and management of an acute angle closure secondary to choroidal melanoma. A 70-year-old female presented with pain, elevated intraocular pressure, mature cataract, and angle closure in right eye. With further studies she was found to have a choroidal melanoma causing the acute angle closure. Enucleation was performed and the patient is currently in close postoperative surveillance by ophthalmology and oncology. The importance of early identification and treatment of intraocular tumors to decrease incidence of metastasis. In secondary acute angle-closure glaucoma treatment should be targeted towards resolving the triggering factor of glaucoma.
摘要：
目的描述继发于脉络膜黑色素瘤的急性闭角的自然史和治疗。一名70岁的女性出现疼痛，眼内压升高，成熟的白内障，和右眼的角度闭合。经过进一步的研究，发现她患有脉络膜黑色素瘤，导致锐角闭合。进行了摘除术，目前患者正在接受眼科和肿瘤科的密切术后监测。早期识别和治疗眼内肿瘤对降低转移发生率的重要性。在继发性急性闭角型青光眼治疗中，应针对解决青光眼的触发因素。
