Smoking Silently Smokes Out Life

Authors

  • Shaik Mohammed Zakir Associate Professor, AMUIO Author
  • Ziaul Haq Yasir Senior Resident, TSM Medical College, Lucknow Author
  • Ahmad Abdullah Author
  • Shariq Wadood Khan Senior Resident, Dept of Microbiology, AMU Author

DOI:

https://doi.org/10.21276/6xhmbq45

Keywords:

Iris metastasis, Bronchogenic carcinoma, Masquerades, Pseudo hypopyon, Iris neovascularization

Abstract

We present the case of a 60-year-old patient who came for complain of diminution of vision in Ophthalmology OPD. On clinical examination, we found a white fluffy iris mass with neovascularization and an invasion of the iridocorneal angle in the left eye. Given the strong suspicion of iris metastasis, a general assessment is carried out and reveals a Bronchogenic Carcinoma with local regional, pleuro-parenchymal, hepatic, lymph node and distant metastasis. Iris tumor is rare but iris metastasis should be part of differential diagnosis in iris lesions, especially in older people. Ophthalmologists can play an important role by early diagnosing and allowing early treatment of an otherwise asymptomatic process presenting as a masquerade.

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References

- Hernández-Da Mota SE, Ulaje-Nuñez JM, Salinas-Gallegos JL, Rodríguez-Reyes A. Iris metastasis as a first manifestation of lung adenocarcinoma. Archivos de la Sociedad Española de Oftalmología (English Edition). 2018;93:357-9.

- Onda M, Makino S. Metastatic iris tumor. QJM: An International Journal of Medicine. 2023:hcad071.

- Straub M, Muselier A, Bron A, Creuzot-Garcher C. An iris metastasis revealed a bronchopulmonary cancer. Journal Francais D'ophtalmologie. 2014;37:125-9.

- Mitamura M, Kase S, Suimon Y, Ito T, Ishida S. A case of metastatic iris tumor observed with anterior segment optical coherence tomography before and after radiation therapy. in vivo. 2020;34:2159-62.

- Shields CL, Shields PW, Manalac J, Jumroendararasame C, Shields JA. Review of cystic and solid tumors of the iris. Oman journal of ophthalmology. 2013;6:159.

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Published

30.06.2022

Issue

Section

CASE REPORT

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