April consultation #2

This patient has an acquired painless peaked pupil with  apparent focal ectropion uveae at 12 o'clock that has an onset after age 50 years. I believe that the previous LASIK is likely unrelated to the current problem. In the provided image, one can see focal vascular changes in the sclera corresponding to the area of pupil abnormality. Given the age of onset and the painless nature of the problem with no evidence of glaucoma and no apparent involvement of the other eye, I would be most concerned with a focal mitotic process, such as iris or ciliary body melanoma.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation section: Cornea Source Type: research