Hyphema from Iris Melanocytoma

Pasricha, Neel D; Seider, Michael I.

doi:10.1159/000489997

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“…The solid appearance on ultrasound biomicroscopy excludes cysts . Both melanocytoma and melanoma may demonstrate tumor growth, hyphema, and secondary glaucoma . However, they can be distinguished clinically.…”

Section: Discussionmentioning

confidence: 83%

“…3 Both melanocytoma and melanoma may demonstrate tumor growth, hyphema, and secondary glaucoma. 4,5 However, they can be distinguished clinically. In particular, the presence of ectropion uvea in melanocytoma, iris nevus, and melanoma is 6%, 24%, and 44%, respectively; the presence of intrinsic vessels is 0%, 20%, and 43%, respectively; the presence of sectoral cataract is 0%, 3%, and 14%, respectively.…”

Section: Discussionmentioning

confidence: 99%

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A Pigmented Iris Lesion

2022

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

A Pigmented Iris Lesion

2022

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Iris melanocytoma and secondary glaucoma

et al. 2020

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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.

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Hyphema from Iris Melanocytoma

Abstract: Using multimodal imaging, we demonstrate a classic iris melanocytoma presenting with recurrent, spontaneous hyphema in a young female patient. The patient has been observed without tumor growth. Hyphema has not been previously reported to occur with iris melanocytoma.

Cited by 2 publications

References 6 publications

A Pigmented Iris Lesion

A Pigmented Iris Lesion

Iris melanocytoma and secondary glaucoma

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