Posters
Iris mammillations about three cases
Poster Details
First Author: B.Tamym MOROCCO
Co Author(s): T. Bouzouba I. Chabbar S. Karmoun A. Aboulanouar A. Berraho
Abstract Details
Purpose:
Mammillations are rare congenital anomalies of the iris ; characterized by dome-shaped elevations of the iris, regularly distributed over a part or the entire surface of a characteristically velvety iris. This is a report of three cases of children who were seen in our department and had iris mammillations during eye examination.
Setting:
Departement of Ophtalmology B,chu Avicenne,Rabat,Morocco
Methods:
We report the cases of 3 young patients who were seen in our hospital with the diagnosis of iris mammillations. Two of them were bilateral without familial association. The third child had iris mammillations as part of an ocular melanocytosis.
Results:
Case 1 : 6-year-old male patient, seen for pigmentation in the sclera of his left eye,from neonatal period. On examination the patient showed 20/25 uncorrected visual acuity in both eyes. Previous biomicroscopy shows scleral pigmentation and iris hyperpigmentation with elevated pigmented nodules and regularly distributed in the left eye (iris mamelons) . Case 2 : 8-year-old female patient who is seen for reduced sight. Examination reveals: AV: right eye (−2.00; 180◦): 1 and left eye (+1.00, −4.00 to 5◦): 0.3. Biomicroscopy shows bilateral iris mammillations diffusely distributed . Case 3 : 14-year-old female patient, who comes in for headaches. Examination reveals: AV: right eye (+1.75; −0.50to 170◦): 1 and left eye (+1.75; −0.75 to 5◦): 1. The previous biomicroscopy has bilateral mammillations of the iris. None of them had abnormalities in the posterior segment or the pachymetry.
Conclusions:
The discovery of iris mammillations during an examination requires a long-term follow-up of these patients due to its association with uveal melanoma. This is required whether it is a casual discovery or in the presence of ocular melanocytosis.
Financial Disclosure:
None
