Adenoma of the nonpigmented ciliary epithelium in the phthisic eye.

PURPOSE: To report a case of adenoma of the nonpigmented ciliary epithelium (NPCE) in a phthisic eye.

METHODS

The clinical and histopathological findings of the case were reported.

RESULTS

A 79-year-old man with a left phthisic eye had suffered from severe left ocular pain for 2 months. At the first examination, the intraocular pressure was 48 mm Hg OS. Slit lamp examination of the left eye revealed an opaque cornea with a band-shaped keratopathy and a hematoma in the anterior chamber, precluding further intraocular examination. Computed tomography revealed a left intraocular heterogeneous lesion with posterior expansion, which was consistent with a hematoma. Evidence of an intraocular tumor before the evisceration was not found. However, histopathological examination of the eviscerated specimen disclosed a tumor comprising tubular components with papillary epithelial proliferation, which was classified as adenoma of the NPCE.

CONCLUSIONS

The current case suggests a necessity for histopathological examination after evisceration to detect components related to a phthisis bulbi, including adenoma of the NPCE.