Skip to main content

Uveal Neural Tumors

  • Chapter
  • First Online:
Clinical Ophthalmic Oncology

Abstract

Peripheral nerve sheath tumors of the uveal tract arise mainly in the sheath of peripheral nerves that are found in the uvea. The ciliary nerve is most often affected, and hence these tumors tend to be located anteriorly, in the ciliary body or peripheral choroid in the anatomic location of the long ciliary nerve. There are several systemic predisposing risk factors, which include schwannomatosis, neurofibromatosis 1 (NF1) and 2, and other rare genetic syndromes. The benign tumors can be subclassified as neurofibroma and schwannoma. The malignant nerve sheath tumors are more difficult to subclassify if they lose the histological characteristics of their benign counterparts. In this chapter, we discuss uveal neurofibroma and schwannoma.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Shields JA, Sanborn GE, Kurz GH, et al. Benign peripheral nerve tumor of the choroid: a clinicopathologic correlation and review of the literature. Ophthalmology. 1981;88(12):1322–9.

    Article  CAS  PubMed  Google Scholar 

  2. Burke JP, Leitch RJ, Talbot JF, et al. Choroidal neurofibromatosis with congenital iris ectropion and buphthalmos: relationship and significance. J Pediatr Ophthalmol Strabismus. 1991;28(5):265–7.

    CAS  PubMed  Google Scholar 

  3. Woog JJ, Albert DM, Craft J, et al. Choroidal ganglioneuroma in neurofibromatosis. Graefes Arch Clin Exp Ophthalmol. 1983;220(1):25–31.

    Article  CAS  PubMed  Google Scholar 

  4. Goyal S, Park A, Zeglam A, et al. Choroidal ganglioneuroma and orbital plexiform neurofibroma presenting as buphthalmos in an infant with neurofibromatosis type 1. Ophthal Plast Reconstr Surg. 2016 Jul-Aug;32(4):87–9.

    Article  Google Scholar 

  5. Ishijima K, Kase S, Noda M, et al. Intraocular neovascularization associated with choroidal ganglioneuroma in neurofibromatosis type 1. Eur J Ophthalmol. 2011;21:837–40.

    Article  PubMed  Google Scholar 

  6. Shome D, Vemuganti GK, Honavar SG. Choroidal ganglioneuroma in a patient with neurofibromatosis type 1: a case report. Eye (Lond). 2006;20:1450–1.

    Article  CAS  Google Scholar 

  7. Yazici B, Ozgun G, Adim SB. Choroidal ganglioneuroma in a patient with orbitopalpebral neurofibromatosis. Ophthal Plast Reconstr Surg. 2014;30:e140–2.

    Article  PubMed  Google Scholar 

  8. Ozgun G, Adim SB, Yazici B. Co-occurrence of choroidal pigmented ganglioneuroma and plexiform neurofibroma in a patient with neurofibromatosis 1. Kaohsiung J Med Sci. 2014;30:215–6.

    Article  PubMed  Google Scholar 

  9. Mbaqwu M, Rahmani B, Srivastava A, et al. Unsuspected ganglioneuroma of the choroid diagnosed after enucleation. Ocul Oncol Pathol. 2015 Sep;2(1):48–50.

    Article  Google Scholar 

  10. Brownstein S, Little JM. Ocular neurofibromatosis. Ophthalmology. 1983;90(12):1595–9.

    Article  CAS  PubMed  Google Scholar 

  11. Yasunari T, Shiraki K, Hattori H, et al. Frequency of choroidal abnormalities in neurofibromatosis type 1. Lancet. 2000;356(9234):988–92.

    Article  CAS  PubMed  Google Scholar 

  12. Kumar SS. Multimodar imaging of choroidal nodules in neurofibromatosis type 1. Indian J Ophthalmol. 2018;66(4):586–8.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Lewis RA, Riccardi VM. Von Recklinghausen neurofibromatosis. Incidence of iris hamartomata. Ophthalmology. 1981;88(4):348–54.

    Article  CAS  PubMed  Google Scholar 

  14. Nakakura S, Shiraki K, Yasunari T, et al. Quantification and anatomic distribution of choroidal abnormalities in patients with type I neurofibromatosis. Graefes Arch Clin Exp Ophthalmol. 2005 Oct;243(10):980–4.

    Article  PubMed  Google Scholar 

  15. Wei WB, Jie Y, Mo J, et al. Clinical characteristics and treatment of neurofibroma of the choroid. Chin Med J. 2012;125(10):1832–5.

    PubMed  Google Scholar 

  16. Smith PA, Damato BE, Ko MK, et al. Anterior uveal neurilemmoma–a rare neoplasm simulating malignant melanoma. Br J Ophthalmol. 1987;71(1):34–40.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Kurtkaya-Yapicier O, Scheithauer B, Woodruff JM. The pathobiologic spectrum of schwannomas. Histol Histopathol. 2003;18(3):925–34.

    CAS  PubMed  Google Scholar 

  18. You JY, Finger PT, Iacob C, et al. Intraocular schwannoma. Surv Ophthalmol. 2013;58(1):77–85.

    Article  PubMed  Google Scholar 

  19. Reith JD, Goldblum JR. Multiple cutaneous plexiform schwannomas. Report of a case and review of the literature with particular reference to the association with types 1 and 2 neurofibromatosis and schwannomatosis. Arch Pathol Lab Med. 1996;120(4):399–401.

    CAS  PubMed  Google Scholar 

  20. Freedman SF, Elner VM, Donev I, et al. Intraocular neurilemmoma arising from the posterior ciliary nerve in neurofibromatosis. Pathologic findings. Ophthalmology. 1988;95(11):1559–64.

    Article  CAS  PubMed  Google Scholar 

  21. MacCollin M, Willett C, Heinrich B, et al. Familial schwannomatosis: exclusion of the NF2 locus as the germline event. Neurology. 2003;60(12):1968–74.

    Article  CAS  PubMed  Google Scholar 

  22. Antinheimo J, Sankila R, Carpen O, et al. Population-based analysis of sporadic and type 2 neurofibromatosis-associated meningiomas and schwannomas. Neurology. 2000;54(1):71–6.

    Article  CAS  PubMed  Google Scholar 

  23. Carney JA. The Carney complex (myxomas, spotty pigmentation, endocrine overactivity, and schwannomas). Dermatol Clin. 1995;13(1):19–26.

    Article  CAS  PubMed  Google Scholar 

  24. Venturini G, Moulin AP, Deprez M, et al. Clinicopathologic and molecular analysis of a choroidal pigmented schwannoma in the context of a PTEN hamartoma tumor syndrome. Ophthalmology. 2012;119(4):857–64.

    Article  PubMed  Google Scholar 

  25. Fan JT, Campbell RJ, Robertson DM. A survey of intraocular schwannoma with a case report. Can J Ophthalmol. 1995;30(1):37–41.

    CAS  PubMed  Google Scholar 

  26. Matsuo T, Notohara K. Choroidal schwannoma: immunohistochemical and electron-microscopic study. Ophthalmologica. 2000;214(2):156–60.

    Article  CAS  PubMed  Google Scholar 

  27. Saavedra E, Singh AD, Sears JE, et al. Plexiform pigmented schwannoma of the uvea. Surv Ophthalmol. 2006;51(2):162–8.

    Article  PubMed  Google Scholar 

  28. Lee SH, Hong JS, Choi JH, et al. Choroidal schwannoma. Acta Ophthalmol Scand. 2005;83(6):754–6.

    Article  PubMed  Google Scholar 

  29. Shields JA, Font RL, Eagle RC Jr, et al. Melanotic schwannoma of the choroid. Immunohistochemistry and electron microscopic observations. Ophthalmology. 1994;101(5):843–9.

    Article  CAS  PubMed  Google Scholar 

  30. Xian J, Xu X, Wang Z, et al. MR imaging findings of the uveal schwannoma. AJNR Am J Neuroradiol. 2009;30(4):769–73.

    Article  CAS  PubMed  Google Scholar 

  31. Pineda R 2nd, Urban RC Jr, Bellows AR, et al. Ciliary body neurilemmona. Unusual clinical findings intimating the diagnosis. Ophthalmology. 1995;102(6):918–23.

    Article  PubMed  Google Scholar 

  32. Turell ME, Hayden BC, McMahon JT, et al. Uveal schwannoma surgery. Ophthalmology. 2009;116(1):163–e6.

    Article  PubMed  Google Scholar 

  33. Kuchle M, Holbach L, Schlotzer-Schrehardt U, et al. Schwannoma of the ciliary body treated by block excision. Br J Ophthalmol. 1994;78(5):397–400.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Goto H, Mori H, Shirato S, et al. Ciliary body schwannoma successfully treated by local resection. Jpn J Ophthalmol. 2006;50(6):543–6.

    Article  PubMed  Google Scholar 

  35. Cho YJ, Won JB, Byeon SH, et al. A choroidal schwannoma confirmed by surgical excision. Korean J Ophthalmol. 2009;23(1):49–52.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Arun D. Singh .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Cohen, V.M.L., Damato, B.E., Singh, A.D. (2019). Uveal Neural Tumors. In: Damato, B., Singh, A. (eds) Clinical Ophthalmic Oncology. Springer, Cham. https://doi.org/10.1007/978-3-030-17879-6_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-17879-6_24

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-17878-9

  • Online ISBN: 978-3-030-17879-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics