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2008 Series -  August 26, 2008 Lecture 19 of 53  NEXT»

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Case13A

Photos courtesy of: Carol L. Shields, M.D.
Used with permission. Not to be reproduced.

A 46-year-old white man was referred for an iridectomy in the left eye, suspected to be an iris melanoma. Best corrected visual acuity was 20/20 in both eyes. The right eye was within normal limits. The slit lamp photograph of the left eye is shown above.

1. Which investigation would help most to finalize the diagnosis?

a. UBM [ultrasound biomicroscopy]
b. trans-illumination
c. both of above
d. FFA

2. What is your clinical diagnosis?

a. iris stromal cyst
b. iris nevus
c. iris pigment epithelial cyst
d. iris melanoma

3. The suspicious lesion should be:
a. excised as iridectomy
b. left alone
c. excised as irido-cyclectomy
d. none of the above

For answers to the above, click here on or after September 2, 2008.

 


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