AC to Lens

Iris Nodules

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Tumours

Benign

  • Iris naevus
  • ICE (associated with atrophy too)
  • Oculodermal melanocytosis

Malignant

  • Primary

    • Melanoma: associated with rubeosis, high IOP, pupil distortion, growth, cataract and ectropion uveae
    • Leukaemia
    • Leiomyoma
  • Secondary (metastasis)

Inflammatory

  • Granulomatous: Koeppe (pupillary margin), Busacca (iris surface), Berlin (angle)

Traumatic

  • Inclusion cysts
  • Retained FB

Developmental

  • Neurofibromatosis: Lisch nodule
  • Down syndrome: Bruschfield spots
  • Juvenile xanthogranuloma: Touton cells

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