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JAMA Ophthalmology Clinical Challenge
May 14, 2020

A Case of an Iris Cyst Not to Be Missed

Author Affiliations
  • 1Department of Ophthalmology & Visual Sciences, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia, Canada
JAMA Ophthalmol. Published online May 14, 2020. doi:10.1001/jamaophthalmol.2020.0571

A man in his 30s presented for assessment of long-standing iris lesions in both eyes. He was unaware of any recent changes in the size or number of these lesions. His visual acuity measured 20/25 (6/7.5) OU, and his intraocular pressures were 14 mm Hg OU. The patient had noticed progressive visual obscuration in his left eye. He was not taking any ocular medications, and his only systemic medication was an oral β-blocker. He was otherwise healthy, and his family history was noncontributory.

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    1 Comment for this article
    Iris Flocculi
    Patrick Droste, MD and Master of Science | Pediatric Ophthalmology P.C Grand Rapids,Michigan
    I am very grateful to Drs Jerry and Carol Shields for teaching us so much about ocular tumors. I take their courses regularly at the American Association of Pediatric Ophthalmology and Strabismus (AAPOS), and the American Academy of Ophthalmology (AAO) meetings each fall. I learned about these iris flocculi from Dr. about 30 years ago at an AFIP course in Washington,D.C. I have seen 10 cases.