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OPHTHALMIC IMAGE |
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Year : 2019 | Volume
: 67
| Issue : 10 | Page : 1727 |
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Bilateral segmental accessory iris membrane with narrow anterior chamber angle
Bonnie Nga Kwan Choy, Ming Ming Zhu, Jonathan Cheuk Hung Chan
Department of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong
Date of Web Publication | 23-Sep-2019 |
Correspondence Address: Dr. Jonathan Cheuk Hung Chan Department of Ophthalmology, LKS Faculty of Medicine, The University of Hong Kong, Room 301, Block B, Cyberport 4 Hong Kong
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/ijo.IJO_68_19
How to cite this article: Choy BN, Zhu MM, Chan JC. Bilateral segmental accessory iris membrane with narrow anterior chamber angle. Indian J Ophthalmol 2019;67:1727 |
Accessory iris membrane (AIM) is a rare anomaly characterized by hyperplasia of the superficial mesodermal layer of the iris.[1],[2],[3],[4] Unlike previously described cases with circumferential involvements, this is the first reported case of segmental AIM, with both eyes demonstrating duplicated iris tissue confined to the inferonasal part of the pupil and a shallow anterior chamber. A whitish band is present along the free margin of the membrane [Figure 1]a and [Figure 1]b, which appears non-contractile on pupil dilation with mydriatic [Fig.1c and d]. Ultrasound biomicroscopy and anterior segment optical coherence tomography both confirmed the location of the membranous structure anterior to the iris plane. | Figure 1: Anterior segment photography by slit lamp of bilateral accessory iris membrane (a and c right eye, b and d left eye)
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Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
References | | |
1. | Bhatti SM, Kapoor HK. Bilateral accessory iris membrane. Indian J Ophthalmol 1998;46:110-1. [ PUBMED] [Full text] |
2. | Levy WJ. Congenital iris lesion. Br J Ophthalmol 1957;41:120-3. |
3. | Luxenburg MN. Hyperplasia of the anterior layer of the iris stroma. Br J Ophthalmol 1965;49:516-20. |
4. | Espandar L, Allingham RR, Afshari NA. Stromal duplication of the iris. JAMA Ophthalmol 2013;131:1442. |
[Figure 1]
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