Assessing and managing an anomalous vascular lesion of the iris

Namkung, Soobin; Goh, Yi Wei; Ziaei, Mohammed; McGhee, Charles N J

doi:10.1111/ceo.13646

Cited by 1 publication

(1 citation statement)

References 3 publications

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“…complications, such as recurrent hyphaema or elevated IOP. 76 Shields et al postulated that a varix may be a thrombosed variant of cavernous haemangioma. 75 Notably, in comparison to a haemangioma, there is no proliferation of capillary/vascular channels in a varix.…”

Section: Non-melanocytic Lesionsmentioning

confidence: 99%

Cysts and tumours of the iris: Diagnostic tools and key management considerations—A review

Kim,

Lim,

McGhee

2024

Clinical Exper Ophthalmology

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The iris is a unique structure, with exquisite variations in colour and form. Pathological changes, specifically including iris cysts and tumours are relatively uncommon, difficult to diagnose, and yet potentially blinding or life‐threatening. Based on a comprehensive literature review, with highly illustrated key case examples, this report aims to guide the clinician in filtering the differential diagnoses of iris cysts and tumours. Evaluation is in the context of key diagnostic clinical tools and management considerations. Diagnostic imaging techniques include serial anterior segment photography, ultrasound, anterior segment optical coherence tomography, and iris fluorescein angiography, however, the roles of computerised topography and magnetic resonance imaging are also considered in this review. Management includes categorisation in terms of solid iris tumours (melanocytic vs. non‐melanocytic), or iris cysts (primary vs. secondary) that may be usefully differentiated by clinical assessment, avoiding more invasive interventions. Cystic lesions are generally benign, although implantation cysts in particular cause significant complications and surgical challenges. Most solid tumours are melanocytic and also typically benign. However, in larger lesions, rapid growth, symptoms and complications more likely indicate malignancy, requiring further investigation.

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Section: Non-melanocytic Lesionsmentioning

confidence: 99%