Posters

Decrease of the size of a primary intraocular leiomyoma after cataract extraction

Poster Details

First Author: G.Karastatiras GREECE

Co Author(s):    S. Giannikakis   L. Zografos   S. Chaidoulis   K. Giannopoulou   N. Kappos   V. Liarakos     

Abstract Details

Purpose:

To present a case of an intraocular leiomyoma of the ciliary body that decreased in size after cataract extraction.

Setting:

(1) Naval and Veterans Hospital, Athens, Greece (2) AKTINA Center, Athens, Greece (3) Hopital Ophthalmique Jules-Govin, Lausanne, Switzerland (4) OMMA , Ophtalmological Institute Athens, Greece

Methods:

Retrospective evaluation of the case notes of a 42-year-old man, who presented with blurred vision in his left eye over a period of 2 months. Multidisciplinary collaboration between various centers was required to diagnose and treat this case. Slit-lamp pictures were captured and standard ultrasound A-scan and B-scan were performed at presentation and during follow-up, when indicated.

Results:

His visual acuity was 1.0 in OD and 0.5 in OS. OS slit-lamp examination of the anterior chamber revealed an ill-defined, irregularly pigmented, orange lesion at 6 o'clock meridian protruding into the anterior chamber and dislocating the iris. Standard ultrasound A-scan and B-scan revealed a large, round ciliary body lesion with inner homogeneous structure and medium internal reflectivity. Excisional biopsy and histopathologic examination were performed in a specialized center. The lesion was diagnosed as leiomyoma. Eight months later, the patient underwent uneventful phacoemulsification for cataract extraction .After four months B-scan showed significant shrinkage both on coronal and on sagittal plane.

Conclusions:

Primary iris leiomyoma is a rare entity. Diagnosis can only be confirmed by excisional biopsy. One year after initial diagnosis and four months after cataract extraction the lesion decreased in length by 25,66% (from 5.34mm to 3.96mm) and in width by 16,07% (from 3.11 to 2.61 mm), in the sagittal plane at 6 o’clock. Furthermore, there was a decrease in length by 2.77% (from 6.13mm to 5.96mm) and in width by 0.87 % (from 2.99mm to 2.73mm) in the coronal plane. The morphology and the internal reflectivity remained unaltered. We postulate that spontaneous shrinkage may be correlated with phacoemulsification.

Financial Disclosure:

None