Iris Leiomyoma Treatment & Management

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

Medical Care

See the list below:

  • Regular photographic documentation of the iris mass is necessary in patients with leiomyoma of the iris.
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Surgical Care

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  • Conservatism is suggested in the management of demarcated iris tumors, particularly for those tumors in the central part of the iris.
  • When the visual field is threatened, complete excision of the tumor in the pupillary zone is safe.
  • Phacoemulsification of sectoral cataracts may be performed. Toric intraocular lens implants may address the corneal astigmatism. [3]
  • Pupillary repair and reconstruction may be warranted on some occasions.
  • In primary ciliary body leiomyoma extending into the iris and the anterior chamber (see images below), sclerouvectomy has been found to be beneficial.
    Ciliary body leiomyoma extending anteriorly. Ciliary body leiomyoma extending anteriorly.
    Ciliary body leiomyoma extending anteriorly. Ciliary body leiomyoma extending anteriorly.
    Ciliary body leiomyoma extending anteriorly. Ciliary body leiomyoma extending anteriorly.
    Ciliary body leiomyoma extending anteriorly. Ciliary body leiomyoma extending anteriorly.
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Consultations

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  • Ocular pathologist
    • Having the opinion of a subspecialist may prove worthwhile. Appropriate photographic documentation is necessary.
    • The specimen obtained during biopsy should be appropriately submitted to an ocular pathologist for proper immunohistochemistry and ultrastructural study.
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