case_images: PMC3678200_01
case_images: A 15-year-old Caucasian male with a pigmented iris lesion. The iris lesion was small at presentation (a) and showed growth over 2 years (b) Visible on gonioscopy (c) and anterior segment optical coherence tomography (d) The lesion was excised by partial lamellar scleral flap and sector iridectomy (e) Later tumor recurrence in the anterior chamber angle with elevated intraocular pressure necessitated Iodine125 plaque radiotherapy (f)
case_images: OJO-6-53-g001.jpg
case_images: PMC3678200_01_OJO-6-53-g001.jpg
case_images: F1
case_images: A 15-year-old Caucasian male noticed a brown nodule in the inferotemporal aspect of his left eye (OS) for 1 month [Figure 1a]. Nearly 2 years after initial presentation, the lesion had enlarged to 3.5 mm in basal diameter and 3.0 mm in thickness [Figure 1b-d]. Iris melanoma was diagnosed, and the tumor was surgically excised by partial lamellar scleral flap and sector iridectomy [Figure 1e]. This finding was managed with custom designed Iodine125 plaque radiotherapy, delivering transcorneal radiation to the entire anterior segment, including the entire trabecular meshwork [Figure 1f].