Article Text
Abstract
Iris melanocytoma (IM) is a rare variant of iris nevus with distinctive clinical and histopathological features. A 66-year-old woman, with a history of right eye pigmented iris nevus, presented to us with a recent onset of visual acuity decrease in that eye. She had a melanocytic iris lesion with iridocorneal angle invasion, peripheral corneal adhesion, pupil corectopia, sectorial cataract and high intraocular pressure. Ultrasound biomicroscopy did not exclude malignant transformation, so excisional biopsy was performed revealing the presence of IM without signs of atypia. Subsequently, the patient underwent cataract surgery combined with iridoplasty and later an ab externo trabeculectomy. Most cases of IM remain stable and require no intervention, but in cases of unusual clinical course, with rapid growth or secondary glaucoma, surgical treatment is indicated as a diagnostic and therapeutic measure. This case report highlights the importance of a timely and multidisciplinary ophthalmological approach for a better visual outcome.
- glaucoma
- iris
- anterior chamber
Statistics from Altmetric.com
Footnotes
Contributors CX participated in the conception, design, acquisition, analysis and interpretation of data. She also participated in drafting the article and ensured that all questions regarding the accuracy or integrity of the article were investigated and resolved. DH-F contributed to acquisition of data and analysis, and interpretation of data. He also gave agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article were investigated and resolved. JC contributed to the acquisition, analysis and interpretation of data. She also participated in revising the article critically for important intellectual content. She also gave her agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article were investigated and resolved. AM contributed to the acquisition, analysis and interpretation of data. She also participated in revising the article critically for important intellectual content and gave the final approval of the version published. She gave her agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article were investigated and resolved.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.