Journal of pediatric ophthalmology and strabismus · 2001
Iris neovascularization in children as a manifestation of underlying medulloepithelioma.
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Singh A, Singh A D, Shields C L, Shields J A
Аннотация
PURPOSE: To report the occurrence of unilateral iris neovascularization in children secondary to medulloepithelioma.
METHODS: Presenting features and the clinical course of patients confirmed to have medulloepithelioma were reviewed.
RESULTS: Seven patients with medulloepithelioma had iris neovascularization during the clinical course. Associated cataract and lens coloboma occurred in two and three cases, respectively. In six (86%) cases, no apparent cause for iris neovascularization could be detected at presentation. Two cases had tube shunts for management of neovascular glaucoma before medulloepithelioma was recognized. All cases eventually required enucleation.
CONCLUSION: Presence of iris neovascularization is an early manifestation of medulloepithelioma. Children with iris neovascularization of unknown cause should be evaluated to exclude underlying medulloepithelioma.
METHODS: Presenting features and the clinical course of patients confirmed to have medulloepithelioma were reviewed.
RESULTS: Seven patients with medulloepithelioma had iris neovascularization during the clinical course. Associated cataract and lens coloboma occurred in two and three cases, respectively. In six (86%) cases, no apparent cause for iris neovascularization could be detected at presentation. Two cases had tube shunts for management of neovascular glaucoma before medulloepithelioma was recognized. All cases eventually required enucleation.
CONCLUSION: Presence of iris neovascularization is an early manifestation of medulloepithelioma. Children with iris neovascularization of unknown cause should be evaluated to exclude underlying medulloepithelioma.