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Iris varix
1Department of Ophthalmology, Tan Tock Seng Hospital, Singapore.
Eye (London, England)
|January 1, 1997
Summary
A rare iris varix, a vascular malformation, caused recurrent bleeding and glaucoma in a patient. Surgical removal led to a complete recovery with no recurrence.
Area of Science:
- Ophthalmology
- Vascular Malformations
- Ocular Oncology
Background:
- Iris varix is a rare vascular lesion of the iris.
- Solitary primary iris varix is exceptionally uncommon.
- Vascular lesions can present diagnostic challenges in ophthalmology.
Observation:
- A 31-year-old Indian man presented with a solitary iris varix.
- The patient experienced recurrent intraocular hemorrhages into the anterior chamber.
- These hemorrhages resulted in the development of secondary glaucoma.
Findings:
- Histological examination confirmed the diagnosis of iris varix.
- Surgical excision (iridectomy) was performed.
- The patient remained recurrence-free for 3 years post-surgery.
Implications:
- Early diagnosis and surgical intervention are crucial for managing iris varix.
- Complete excision can prevent complications like secondary glaucoma.
- This case highlights the importance of considering rare vascular lesions in the differential diagnosis of iris abnormalities.