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 Table of Contents    
CLINICAL QUIZ
Year : 2018  |  Volume : 11  |  Issue : 1  |  Page : 97-99  

A rare case of superior hypopyon with iris neovascularization


Department of Ophthalmology, I.G.M.C., Shimla, Himachal Pradesh, India

Date of Web Publication5-Mar-2018

Correspondence Address:
Deepti Mahajan
Arunodaya, Cemetery Road, Sanjauli, Shimla - 171 006 Himachal Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-620X.226351

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How to cite this article:
Mahajan D, Gupta RK, Chaudhary KP. A rare case of superior hypopyon with iris neovascularization. Oman J Ophthalmol 2018;11:97-9

How to cite this URL:
Mahajan D, Gupta RK, Chaudhary KP. A rare case of superior hypopyon with iris neovascularization. Oman J Ophthalmol [serial online] 2018 [cited 2018 Aug 19];11:97-9. Available from: http://www.ojoonline.org/text.asp?2018/11/1/97/226351



A 70-year-old female presented to the eye outpatient department with the chief complaint of blurred vision, pain, and redness in the left eye for 2 days. Visual acuity in the right eye was 6/6 and hand movement close to face in the left eye. Slit lamp examination left eye revealed a superior hypopyon, +3 cells in the anterior chamber, and iris neovascularization [Figure 1] and [Figure 2]. Intraocular pressure by noncontact tonometer was 10 and 22 mm in the right and left eye, respectively. B-scan [Figure 3] and magnetic resonance imaging (MRI) brain and orbit [Figure 4] were ordered.
Figure 1: Superior mass, with neovascularization of the iris

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Figure 2: Post anterior chamber tap photograph showing hemorrhage superiorly and diffuse hyphema after the tap

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Figure 3: B scan of the right and left eye revealing a mass in the ciliary region

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Figure 4: Magnetic resonance imaging brain and orbit

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   Questions Top


  1. What is the likely diagnosis?
  2. What is the differential diagnosis?
  3. What could be the cause of raised intraocular pressure in the left eye?
  4. What are findings on ultrasound and MRI?
  5. What is the line of management and workup for the patient?




Click here to view answer. View Answer


 
   References Top

1.
Costache M, Patrascu O, Adrian D, Costache D, Sajin M, Ungureanu E, Simionescu O. Ciliary Body Melanoma - A Particularly Rare Type of Ocular Tumor. Case Report and General Considerations. Maedica 2013;8:360-4.  Back to cited text no. 1
    
2.
Oittinen HA, O'Shaughnessy M, Cullinane AB, Keohane C. Malignant melanoma of the ciliary body presenting as extraocular metastasis in the temporalis muscle. J Clin Pathol 2007;60:834-5.  Back to cited text no. 2
    
3.
Shields CL, Shields JA, Gross NE, Schwartz GP, Lally SE. Survey of 520 eyes with uveal metastases. Ophthalmology 1997;104:1265-76.  Back to cited text no. 3
[PUBMED]    
4.
Shields JA, Shields CL, Kiratli H, de Potter P. Metastatic tumors to the iris in 40 patients. Am J Ophthalmol 1995;119:422-30.  Back to cited text no. 4
[PUBMED]    
5.
Demirci H, Shields CL, Shields JA, Honavar SG, Eagle RC Jr. Ring melanoma of the ciliary body: Report on twenty-three patients. Retina 2002;22:698-706.  Back to cited text no. 5
[PUBMED]    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5]



 

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