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Updated: Jun 22, 2025

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Leiomyoma - Ciliary Body Tumor. A Case Report
Summary
This case report highlights a rare ciliary body leiomyoma diagnosis. Immunohistochemistry was crucial in distinguishing it from malignant melanoma, emphasizing the need to consider leiomyoma in rare intraocular tumors.
Area of Science:
- Ophthalmology
- Pathology
- Oncology
Background:
- Ciliary body leiomyomas are rare tumors.
- Diagnosis can be challenging due to their rarity and potential resemblance to other intraocular masses.
Observation:
- A 72-year-old female presented with a peripheral retinal mass during a routine examination.
- Initial investigations including gonioscopy and ultrasound raised suspicion of malignant melanoma.
- Further imaging with MRI was performed, and eyeball enucleation was recommended.
Findings:
- Histopathological examination confirmed the mass as a leiomyoma of the ciliary body.
- Immunohistochemical analysis was essential in differentiating the leiomyoma from malignant melanoma.
Implications:
- This case underscores the diagnostic challenges associated with intraocular leiomyomas.
- It highlights the importance of considering leiomyoma in the differential diagnosis of intraocular tumors, even when rare.
- Immunohistochemistry plays a critical role in accurate tumor characterization and diagnosis.
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