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Decrease of the size of a primary intraocular leiomyoma after cataract extraction

Poster Details

First Author: G.Karastatiras GREECE

Co Author(s):    S. Giannikakis   L. Zografos   S. Chaidoulis   K. Giannopoulou   N. Kappos   V. Liarakos     

Abstract Details


To present a case of an intraocular leiomyoma of the ciliary body that decreased in size after cataract extraction.


(1) Naval and Veterans Hospital, Athens, Greece (2) AKTINA Center, Athens, Greece (3) Hopital Ophthalmique Jules-Govin, Lausanne, Switzerland (4) OMMA , Ophtalmological Institute Athens, Greece


Retrospective evaluation of the case notes of a 42-year-old man, who presented with blurred vision in his left eye over a period of 2 months. Multidisciplinary collaboration between various centers was required to diagnose and treat this case. Slit-lamp pictures were captured and standard ultrasound A-scan and B-scan were performed at presentation and during follow-up, when indicated.


His visual acuity was 1.0 in OD and 0.5 in OS. OS slit-lamp examination of the anterior chamber revealed an ill-defined, irregularly pigmented, orange lesion at 6 o'clock meridian protruding into the anterior chamber and dislocating the iris. Standard ultrasound A-scan and B-scan revealed a large, round ciliary body lesion with inner homogeneous structure and medium internal reflectivity. Excisional biopsy and histopathologic examination were performed in a specialized center. The lesion was diagnosed as leiomyoma. Eight months later, the patient underwent uneventful phacoemulsification for cataract extraction .After four months B-scan showed significant shrinkage both on coronal and on sagittal plane.


Primary iris leiomyoma is a rare entity. Diagnosis can only be confirmed by excisional biopsy. One year after initial diagnosis and four months after cataract extraction the lesion decreased in length by 25,66% (from 5.34mm to 3.96mm) and in width by 16,07% (from 3.11 to 2.61 mm), in the sagittal plane at 6 o’clock. Furthermore, there was a decrease in length by 2.77% (from 6.13mm to 5.96mm) and in width by 0.87 % (from 2.99mm to 2.73mm) in the coronal plane. The morphology and the internal reflectivity remained unaltered. We postulate that spontaneous shrinkage may be correlated with phacoemulsification.

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