| Autor: |
Paolo Mora, Giacomo Calzetti, Fernando O. Avellis, Salvatore A. Tedesco, Arturo Carta, Stefano Gandolfi, Leonidas Zografos |
| Jazyk: |
angličtina |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
American Journal of Ophthalmology Case Reports, Vol 18, Iss , Pp - (2020) |
| Druh dokumentu: |
article |
| ISSN: |
2451-9936 |
| DOI: |
10.1016/j.ajoc.2020.100685 |
| Popis: |
Purpose: To report, with the aid of original imaging, an unusual differential diagnosis of an iris tumor. Observations: A 60-year-old Caucasian man visited our clinic with a large amelanotic iris mass in the left eye in the absence of concomitant extraocular inflammation or neoplastic evidence. The patient reported an ocular trauma caused by a wire 5 years prior to his visit, which resolved after a short course of antibiotic eye drops. Orbital magnetic resonance imaging with contrast enhancement was consistent with an iris tumor; ultrasound biomicroscopy indicated a semi-solid, mid-stromal iris formation continuous with the lens. Surgical inspection was performed. Surgery showed the presence of a hypermature cataract with a fine break in the anterior capsule of the lens covered by the iris surface. The liquefied cortex infiltrated the iris without diffusing into the aqueous humor. Conclusions and Importance: A so-called morgagnian cataract developed, likely following a penetrating ocular wound. The progressive, slow infiltration of the iris stroma by the crystalline matrix mimicked the appearance of an amelanotic iris tumor. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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