Department of Ophthalmology, Osaka University Graduate School of Medicine, E7, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Department of Pathology, Graduate School of Medicine and Faculty of Medicine, Osaka University, Osaka, Japan.
BMC Ophthalmol. 2023 Mar 15;23(1):103. doi: 10.1186/s12886-023-02854-z.
Iris mammillation is a rare disease characterized by the distribution of multiple nodules on the iris surface. The course of uveitic glaucoma with iris mammillation has never been reported.
A 56-year-old woman, who presented with unilateral decreased vision, visited our hospital for treatment of uveitic glaucoma in the right eye. Multiple nodules were scattered over the iris surface in that eye. This case was diagnosed as iris mammillation on clinical findings. After excluding malignant tumors such as melanoma, trabeculectomy was performed. The resected iris had no pathologically malignant findings. The iris nodules evolved to a sand-like appearance, and the intraocular pressure remained stable without recurrent inflammation 7 years after trabeculectomy.
In a case of unilateral uveitic glaucoma with iris mammillation, filtration surgery was performed after excluding the presence of a malignancy, and the long-term postoperative course has been stable.
虹膜结节是一种罕见的疾病，其特征是虹膜表面分布有多个结节。虹膜结节伴葡萄膜炎性青光眼的病程尚未见报道。
一位 56 岁女性，因单侧视力下降就诊，右眼患有葡萄膜炎性青光眼。该眼虹膜表面散布着多个结节。根据临床表现，该病例被诊断为虹膜结节。在排除黑色素瘤等恶性肿瘤后，进行了小梁切除术。切除的虹膜无病理恶性发现。虹膜结节演变为沙样外观，小梁切除术后 7 年，眼内压保持稳定，无炎症复发。
在单侧葡萄膜炎性青光眼伴虹膜结节的病例中，在排除恶性肿瘤存在的情况下进行了滤过性手术，术后长期过程稳定。
