Ciliary Body Granuloma Simulating Malignant Melanoma after Herpes Zoster Ophthalmicus

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Abstract
A rapidly growing, pigmented mass of the ciliary body and episclera developed in a healthy woman who recently had had herpes zoster ophthalmicus. Clinically the lesion simulated a malignant melanoma with extrascleral extension; histopathologic examination of the iridocyclectomy specimen, however, revealed a granuloma with a central area of coagulative necrosis and secondary pigment dispersion. The temporal relationship between the onset of herpes zoster ophthalmicus and the development of the granuloma suggests that the latter was a delayed manifestation of herpes zoster ophthalmicus.

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