About OJO | Search | Ahead of print | Current Issue | Archives | Author Instructions | Reviewer Guidelines | Online submissionLogin 
Oman Journal of Ophthalmology Oman Journal of Ophthalmology
  Editorial Board | Subscribe | Advertise | Contact
https://www.omanophthalmicsociety.org/ Users Online: 246  Wide layoutNarrow layoutFull screen layout Home Print this page  Email this page Small font size Default font size Increase font size

 Table of Contents    
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
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-620X.226351

Rights and Permissions

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 2023 Mar 31];11:97-9. Available from: https://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

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

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

Click here to view
Figure 4: Magnetic resonance imaging brain and orbit

Click here to view

   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

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
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
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
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
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


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


    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

  In this article
    Answers for Clin...
    Article Figures

 Article Access Statistics
    PDF Downloaded43    
    Comments [Add]    

Recommend this journal