• An elevated, pigmented lesion of the peripheral iris developed in a 73-year-old woman. The lesion was believed to be a malignant melanoma and was excised at the time of routine cataract extraction. Pathologic examination disclosed a Fuchs' adenoma. These lesions are common in the elderly and are almost invariably clinically silent. This case, however, demonstrates that under rare circumstances a Fuchs' adenoma may induce cataractous changes or produce clinical findings that can mimic an iris melanoma.
Zaidman GW, Johnson BL, Salamon SM, Mondino BJ. Fuchs' Adenoma Affecting the Peripheral Iris. Arch Ophthalmol. 1983;101(5):771-773. doi:10.1001/archopht.1983.01040010771015