History of Present Illness
A 4-year-old healthy male with no past medical history presents to the eye clinic complaining of redness of the right eye (OD) for 2 weeks. He had been placed on topical prednisolone four times a day (QID) OD without improvement.
Exam
| OD | OS | |
|---|---|---|
| Visual Acuity | Fix and follow | Fix and follow |
| Intraocular pressure (IOP) | 16 | 14 |
| Sclera/conjunctiva | Conjunctival congestion inferiorly | White and quiet |
| Cornea | Clear | Clear |
| Anterior chamber (AC) | 2+ cells1+ flare | Deep and quiet |
| Iris | Posterior synechiae, iris mass at 6 o’clock (see Fig. 19.1A and B ) | Unremarkable |
| Lens | Pigment on anterior lens surface | Clear |
| Anterior vitreous | 2+ vitreous cell | Clear |
| Dilated fundus examination (DFE) | See Fig. 19.2A | See Fig. 19.2B |
Anterior segment fluorescein angiography (FA), fundus FA, and optical coherence tomography (OCT) were all pursued.
(A) External photograph of the right eye shows multiple posterior synechiae, pigment on the anterior lens capsule, an irregular pupil, and an angle mass inferonasally. (B) A magnified view of the mass. (C) Anterior segment fluorescein angiography showed leakage from the iris mass without neovascularization of the iris. (D) Ultrasound biomicroscopy demonstrates a solid iris mass.
Stay updated, free articles. Join our Telegram channel
Full access? Get Clinical Tree
