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Long-term course with iris changes after trabeculectomy for uveitic glaucoma associated with iris mammillation: a
Shinichi Usui1, Tomoyuki Okazaki2, Takahiro Fujino2
1Department of Ophthalmology, Osaka University Graduate School of Medicine, E7, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan. susui@ophthal.med.osaka-u.ac.jp.
BMC Ophthalmology
|March 16, 2023
Summary
Uveitic glaucoma with iris mammillation, a rare condition, was successfully managed with filtration surgery. This surgical approach demonstrated stable intraocular pressure and no recurrent inflammation for seven years post-operation.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Uveitis Studies
Background:
- Iris mammillation is a rare condition with multiple iris nodules.
- The clinical course of uveitic glaucoma associated with iris mammillation is not previously documented.
Observation:
- A 56-year-old woman presented with unilateral decreased vision and uveitic glaucoma.
- The affected eye exhibited multiple nodules scattered across the iris surface, consistent with iris mammillation.
- Malignant tumors were excluded prior to surgical intervention.
Findings:
- Trabeculectomy was performed, and pathological examination of the resected iris showed no malignant findings.
- The iris nodules transformed into a sand-like appearance post-surgery.
- The patient maintained stable intraocular pressure and experienced no recurrent inflammation for seven years following trabeculectomy.
Implications:
- Filtration surgery can be a safe and effective long-term treatment for uveitic glaucoma with iris mammillation.
- This case highlights the importance of considering surgical management in rare ocular conditions.
- Long-term stability achieved suggests favorable outcomes for similar cases.
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