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05:22
Iris Fixation via External Pentagram Suturing
Published on: May 5, 2022
Lenticular meridional astigmatism secondary to iris mesectodermal leiomyoma
K V Chalam1, Carolee M Cutler Peck, Sandeep Grover
1Department of Ophthalmology, University of Florida College of Medicine, Jacksonville, Florida, USA. kchalam@jax.ufl.edu
Journal of Cataract and Refractive Surgery
|December 14, 2011
Summary
A rare iris tumor caused decreased vision and astigmatism in a patient. Early detection using optical coherence tomography (OCT) is crucial for managing anterior segment tumors.
Area of Science:
- Ophthalmology
- Oncology
- Pathology
Background:
- Anterior segment tumors are rare and can present with subtle visual changes.
- Lenticular astigmatism and sectoral cataracts can be indicative of underlying ocular pathology.
Observation:
- A 61-year-old man presented with decreased vision due to an amelanotic iris lesion causing lenticular astigmatism and sectoral cataract.
- Slitlamp optical coherence tomography (OCT) revealed angle crowding, suggesting an anterior segment mass.
Findings:
- Excisional biopsy and subsequent histopathology confirmed the diagnosis of uveal mesectodermal leiomyoma.
- The tumor was successfully treated with excisional biopsy, phacoemulsification, and intraocular lens implantation.
Implications:
- Lenticular astigmatism can be a subtle presenting sign of anterior segment tumors.
- Anterior segment OCT is a valuable tool for diagnosing and monitoring these tumors.
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