A woman in her 70s with an unremarkable ophthalmic history presented with a spontaneous left eye hyphema. Anterior segment examination revealed subtle bilateral iris vascular tufts with late leakage on fluorescein angiogram (not shown). The vascular tufts were judged to have enlarged over 2 years (Figure, A), with increasing hyperfluorescence confirmed by indocyanine green angiogram (Figure, B). There was no hyphema recurrence, and visual acuity and intraocular pressures remained within normal limits. Iris vascular tufts, or Cobb tufts, typically follow a benign course.1 Argon laser treatment is reserved for cases complicated by recurrent hyphema.2-4
Papastefanou VP, Burris CKH, Sagoo MS. Iris Vascular Tufts. JAMA Ophthalmol. 2016;134(12):e162755. doi:10.1001/jamaophthalmol.2016.2755
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