Distinguishing midzonal iris pigment epithelial cyst from adenoma and ciliary body melanoma
A 49-year old male with corrected visual acuity of 20/25 OD and 20/20 OS was found to have an asymptomatic dark iris mass OD with suspicion for ciliary body melanoma. Predilation slit-lamp biomicroscopy revealed a well-circumscribed brown round mass arising posterior to the iris, presumably from the...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Oman Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ojoonline.org/article.asp?issn=0974-620X;year=2018;volume=11;issue=2;spage=161;epage=163;aulast=Mayro |
| _version_ | 1818259318015787008 |
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| author | Eileen L Mayro Thamolwan Surakiatchanukul Jerry A Shields Carol L Shields |
| author_facet | Eileen L Mayro Thamolwan Surakiatchanukul Jerry A Shields Carol L Shields |
| author_sort | Eileen L Mayro |
| collection | DOAJ |
| description | A 49-year old male with corrected visual acuity of 20/25 OD and 20/20 OS was found to have an asymptomatic dark iris mass OD with suspicion for ciliary body melanoma. Predilation slit-lamp biomicroscopy revealed a well-circumscribed brown round mass arising posterior to the iris, presumably from the ciliary body; however, postdilation demonstrated an extended fusiform mass of the iris pigment epithelium (IPE). By anterior segment imaging, the well-circumscribed IPE mass was cystic and measured 1440 microns in thickness peripherally predilation and 300 microns in thickness postdilation. There was no solid IPE or ciliary body component. A diagnosis of midzonal IPE cyst was rendered and observation advised. Clinical features and anterior segment imaging can assist in differentiation of midzonal IPE cyst from adenoma and ciliary body melanoma. The diagnostic methodology described in this paper can be used by ophthalmologists to promptly rule out underlying melanoma. |
| first_indexed | 2024-12-12T18:13:32Z |
| format | Article |
| id | doaj.art-38d6190f188c4803a9f3555b189bbde0 |
| institution | Directory Open Access Journal |
| issn | 0974-620X |
| language | English |
| last_indexed | 2024-12-12T18:13:32Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Oman Journal of Ophthalmology |
| spelling | doaj.art-38d6190f188c4803a9f3555b189bbde02022-12-22T00:16:19ZengWolters Kluwer Medknow PublicationsOman Journal of Ophthalmology0974-620X2018-01-0111216116310.4103/ojo.OJO_226_2017Distinguishing midzonal iris pigment epithelial cyst from adenoma and ciliary body melanomaEileen L MayroThamolwan SurakiatchanukulJerry A ShieldsCarol L ShieldsA 49-year old male with corrected visual acuity of 20/25 OD and 20/20 OS was found to have an asymptomatic dark iris mass OD with suspicion for ciliary body melanoma. Predilation slit-lamp biomicroscopy revealed a well-circumscribed brown round mass arising posterior to the iris, presumably from the ciliary body; however, postdilation demonstrated an extended fusiform mass of the iris pigment epithelium (IPE). By anterior segment imaging, the well-circumscribed IPE mass was cystic and measured 1440 microns in thickness peripherally predilation and 300 microns in thickness postdilation. There was no solid IPE or ciliary body component. A diagnosis of midzonal IPE cyst was rendered and observation advised. Clinical features and anterior segment imaging can assist in differentiation of midzonal IPE cyst from adenoma and ciliary body melanoma. The diagnostic methodology described in this paper can be used by ophthalmologists to promptly rule out underlying melanoma.http://www.ojoonline.org/article.asp?issn=0974-620X;year=2018;volume=11;issue=2;spage=161;epage=163;aulast=MayroAnterior segment optical coherence tomographycystiris pigment epitheliummelanomaultrasound biomicroscopy |
| spellingShingle | Eileen L Mayro Thamolwan Surakiatchanukul Jerry A Shields Carol L Shields Distinguishing midzonal iris pigment epithelial cyst from adenoma and ciliary body melanoma Oman Journal of Ophthalmology Anterior segment optical coherence tomography cyst iris pigment epithelium melanoma ultrasound biomicroscopy |
| title | Distinguishing midzonal iris pigment epithelial cyst from adenoma and ciliary body melanoma |
| title_full | Distinguishing midzonal iris pigment epithelial cyst from adenoma and ciliary body melanoma |
| title_fullStr | Distinguishing midzonal iris pigment epithelial cyst from adenoma and ciliary body melanoma |
| title_full_unstemmed | Distinguishing midzonal iris pigment epithelial cyst from adenoma and ciliary body melanoma |
| title_short | Distinguishing midzonal iris pigment epithelial cyst from adenoma and ciliary body melanoma |
| title_sort | distinguishing midzonal iris pigment epithelial cyst from adenoma and ciliary body melanoma |
| topic | Anterior segment optical coherence tomography cyst iris pigment epithelium melanoma ultrasound biomicroscopy |
| url | http://www.ojoonline.org/article.asp?issn=0974-620X;year=2018;volume=11;issue=2;spage=161;epage=163;aulast=Mayro |
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