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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...

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Autores principales: Mora, Paolo, Calzetti, Giacomo, Avellis, Fernando O., Tedesco, Salvatore A., Carta, Arturo, Gandolfi, Stefano, Zografos, Leonidas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
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.
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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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