Iris and CB tumours

Question 1

What is the presentation of iris melanoma?

Answer 1

5th-6th. decade
light iris
develops from enlargement of pre existing lesion
3mm size , 1mm thick
smooth or irregular surface
feathery outlibe
commonly onferior quadrant

Question 2

What are signs of malignancy for iris melanoma

Answer 2

-blood vessels
-deformed pupil
-ectropian uveae
-growth

Question 3

What is the presentation of iris navues

Answer 3

-pigmented flat or slightly elevated lesion
less than 3mm
-possible mild pupil distortion

Question 4

Answer 4

iris melanoma

Question 5

Answer 5

ectropion uveae

Question 6

What is the presentation of ciliary body melanoma

Answer 6

-6th decade
unilateral
asymptomatic
or show reduction in vision

Question 7

What are the signs of ciliary body melanoma

Answer 7

depends on size and location of tumor

1) dilated episceleral vessels in same quadrant as tutor

risk of ant uveitis
risk of rd if extends posteriorly
can erode through. iris root

Question 8

Answer 8

ciliary body melanoma

Question 9

What is the management of iris and ciliary body melanoma?

Answer 9

EMERGENCY REFRERRAK

IRIS MELANOMA
-SECTOR IRIDEECTOMY
-RADIOTHERAPY
-ENUCLEATION -IF LARGE WITH DIFFCUSE GROWTH
IRIDOCYLECTOMY-IF INVADED ANGLE

CB
ENUCLEATION IF LARGE/INVLOVES ANTERIOR CHOROIS OR ISK OF SECONDARY GLAUCOMA.