A neglected demented patient was treated for neovascular glaucoma (NVG) and orbital cellulitis and was later given the diagnosis
of uveal melanoma. Histologically, the tumor extensively infiltrated the sclera, causing massive scleral destruction and invasion
of the orbit. Preliminary invasion of scleral emissaries was not identified. Investigative imaging is important early in the
course of NVG in patients with opaque media, especially in the demented population.
The authors have stated that they do not have a significant financial interest or other relationship with any product manufacturer
or provider of services discussed in this article.