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A case of morgagnian cataract mimicking an iris tumor
PURPOSE: To report, with the aid of original imaging, an unusual differential diagnosis of an iris tumor. OBSERVATIONS: A 60-year-old Caucasian man visited our clinic with a large amelanotic iris mass in the left eye in the absence of concomitant extraocular inflammation or neoplastic evidence. The...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7155145/ https://www.ncbi.nlm.nih.gov/pubmed/32309676 http://dx.doi.org/10.1016/j.ajoc.2020.100685 |
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author | Mora, Paolo Calzetti, Giacomo Avellis, Fernando O. Tedesco, Salvatore A. Carta, Arturo Gandolfi, Stefano Zografos, Leonidas |
author_facet | Mora, Paolo Calzetti, Giacomo Avellis, Fernando O. Tedesco, Salvatore A. Carta, Arturo Gandolfi, Stefano Zografos, Leonidas |
author_sort | Mora, Paolo |
collection | PubMed |
description | PURPOSE: To report, with the aid of original imaging, an unusual differential diagnosis of an iris tumor. OBSERVATIONS: A 60-year-old Caucasian man visited our clinic with a large amelanotic iris mass in the left eye in the absence of concomitant extraocular inflammation or neoplastic evidence. The patient reported an ocular trauma caused by a wire 5 years prior to his visit, which resolved after a short course of antibiotic eye drops. Orbital magnetic resonance imaging with contrast enhancement was consistent with an iris tumor; ultrasound biomicroscopy indicated a semi-solid, mid-stromal iris formation continuous with the lens. Surgical inspection was performed. Surgery showed the presence of a hypermature cataract with a fine break in the anterior capsule of the lens covered by the iris surface. The liquefied cortex infiltrated the iris without diffusing into the aqueous humor. CONCLUSIONS AND IMPORTANCE: A so-called morgagnian cataract developed, likely following a penetrating ocular wound. The progressive, slow infiltration of the iris stroma by the crystalline matrix mimicked the appearance of an amelanotic iris tumor. |
format | Online Article Text |
id | pubmed-7155145 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-71551452020-04-17 A case of morgagnian cataract mimicking an iris tumor Mora, Paolo Calzetti, Giacomo Avellis, Fernando O. Tedesco, Salvatore A. Carta, Arturo Gandolfi, Stefano Zografos, Leonidas Am J Ophthalmol Case Rep Case Report PURPOSE: To report, with the aid of original imaging, an unusual differential diagnosis of an iris tumor. OBSERVATIONS: A 60-year-old Caucasian man visited our clinic with a large amelanotic iris mass in the left eye in the absence of concomitant extraocular inflammation or neoplastic evidence. The patient reported an ocular trauma caused by a wire 5 years prior to his visit, which resolved after a short course of antibiotic eye drops. Orbital magnetic resonance imaging with contrast enhancement was consistent with an iris tumor; ultrasound biomicroscopy indicated a semi-solid, mid-stromal iris formation continuous with the lens. Surgical inspection was performed. Surgery showed the presence of a hypermature cataract with a fine break in the anterior capsule of the lens covered by the iris surface. The liquefied cortex infiltrated the iris without diffusing into the aqueous humor. CONCLUSIONS AND IMPORTANCE: A so-called morgagnian cataract developed, likely following a penetrating ocular wound. The progressive, slow infiltration of the iris stroma by the crystalline matrix mimicked the appearance of an amelanotic iris tumor. Elsevier 2020-04-08 /pmc/articles/PMC7155145/ /pubmed/32309676 http://dx.doi.org/10.1016/j.ajoc.2020.100685 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Mora, Paolo Calzetti, Giacomo Avellis, Fernando O. Tedesco, Salvatore A. Carta, Arturo Gandolfi, Stefano Zografos, Leonidas A case of morgagnian cataract mimicking an iris tumor |
title | A case of morgagnian cataract mimicking an iris tumor |
title_full | A case of morgagnian cataract mimicking an iris tumor |
title_fullStr | A case of morgagnian cataract mimicking an iris tumor |
title_full_unstemmed | A case of morgagnian cataract mimicking an iris tumor |
title_short | A case of morgagnian cataract mimicking an iris tumor |
title_sort | case of morgagnian cataract mimicking an iris tumor |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7155145/ https://www.ncbi.nlm.nih.gov/pubmed/32309676 http://dx.doi.org/10.1016/j.ajoc.2020.100685 |
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