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Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

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Related Experiment Video

Updated: May 11, 2026

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
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Published on: October 20, 2017

Iris microhaemangioma: a management strategy.

Aruna Dharmasena1, Simon Wallis

  • 1Department of Ophthalmology, Royal Bolton Hospital Foundation Trust, Bolton, BL4 0JR, United Kingdom.

International Journal of Ophthalmology
|May 3, 2013
PubMed
Summary
This summary is machine-generated.

This study reviews literature to create a management strategy for iris microhaemangiomas (IMH). Laser photocoagulation is recommended for recurrent hyphaema, with surgical excision as a last resort for IMH.

Keywords:
Argon laser photocoagulationCobb's tuftscapillary haemangioma of irisiris microhaemangiomairis vascular tufts

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Area of Science:

  • Ophthalmology
  • Vascular Biology
  • Medical Management

Background:

  • Iris microhaemangiomas (IMH) are rare vascular tumors of the iris.
  • While often asymptomatic, IMH can present with vision-threatening hyphaema.
  • Systemic associations include diabetes mellitus and myotonic dystrophy.

Purpose of the Study:

  • To systematically review existing literature on iris microhaemangiomas.
  • To formulate a comprehensive management strategy for IMH based on evidence.

Main Methods:

  • Literature search of English language articles on IMH.
  • Analysis of 35 relevant studies.
  • Development of a management algorithm.

Main Results:

  • IMH affects patients aged 42-80, with no sex or racial predilection.
  • Sudden vision blurring due to hyphaema is a common presentation.
  • Laser photocoagulation is effective for recurrent hyphaema; surgical excision is reserved for refractory cases.

Conclusions:

  • High-quality evidence for IMH management is limited due to its rarity.
  • A literature-based management strategy is proposed.
  • Iris fluorescein angiography aids in precise treatment planning.