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Iris melanoma: a case report and review
Michel Millodot1, Karen Hendler, Jacob Pe'er
1Department of Optometry, Hadassah College of Technology, Jerusalem, Israel. millodot@btinternet.com
Summary
Early detection of iris melanoma, a rare unilateral eye tumor, is crucial. Surgical excision, like irido-cyclo-trabeculectomy, offers successful treatment for this ocular condition.
Area of Science:
- Ophthalmology
- Oncology
Background:
- Iris melanoma is a rare, typically unilateral ocular tumor, often originating from a pre-existing nevus.
- Delayed diagnosis can lead to severe ocular and systemic complications.
Observation:
- A patient presented with intermittent vision loss in the left eye.
- Slit-lamp examination revealed an inferior iris mass with elevated intraocular pressure (38 mmHg in the left eye).
- The tumor infiltrated the iris stroma and anterior chamber angle.
Findings:
- The iris melanoma was successfully excised using irido-cyclo-trabeculectomy.
- This demonstrates a shift from enucleation towards surgical excision for large, circumscribed iris tumors.
Implications:
- Early detection and surgical intervention are key to managing iris melanoma.
- Irido-cyclo-trabeculectomy is a viable treatment option for preserving vision and the eye.
- Increased awareness of iris melanoma symptoms and presentation is necessary for timely diagnosis.