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Ophthalmic Images
February 13, 2020

Posttraumatic Intracorneal Iris Herniation Mimicking a Pigmented Limbal Lesion

Author Affiliations
  • 1Ocular Oncology Service, Moorfields Eye Hospital, London, England
  • 2NIHR Biomedical Research Centre for Ophthalmology, UCL Institute of Ophthalmology, Moorfields Hospital, London, England
JAMA Ophthalmol. 2020;138(2):e190557. doi:10.1001/jamaophthalmol.2019.0557

A 21-year-old healthy white man presented with a pigmented lesion at the inferior limbus. The patient reported nonspecific trauma in the affected eye during childhood. The lesion measured 3 × 3 mm with no ectropion uveae corectopia nor any intrinsic, extrinsic, or sentinel episcleral vasculature (Figure, A). Mild corneal opacity was noted at the margins. Gonioscopy results showed an elevation and insertion of the iris in the corneal stroma. The intracorneal portion of the iris was discernible. A foreign body was not noted.