Iris Leiomyoma Follow-up

Updated: Feb 06, 2014
  • Author: Manolette R Roque, MD, MBA, FPAO; Chief Editor: Hampton Roy, Sr, MD  more...
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Follow-up

Further Outpatient Care

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  • Once a diagnosis of leiomyoma is confirmed by ultrastructural analysis after excisional biopsy, no further treatment of this benign lesion is necessary.
  • If the excisional biopsy is large, diplopia and glare may potentially become complaints. Addressing these issues appropriately is necessary.
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Further Inpatient Care

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  • In some centers, admission may be necessary after performing an excisional biopsy.
  • Monitoring for infection, wound leakage, anterior chamber depth, and pupillary status is required.
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Inpatient & Outpatient Medications

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  • Aside from the use of an eye shield, oral painkillers, and topical antibiotics and steroids after the procedure, no further special care is necessary.
  • Appropriate topical ophthalmic medications may be provided in the advent of an excisional biopsy.
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Complications

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  • Continued tumor growth may cause secondary glaucoma.
  • When the mass reaches the visual axis, a decrease in vision may occur.
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Prognosis

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  • The prognosis for vision depends on the location and size of the tumor and is usually excellent.
  • The prognosis for life is excellent because these tumors are usually benign, slow-growing lesions with no known tendency for metastasis.
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Patient Education

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  • At least annual visits with an ophthalmologist are advised for the patient.
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