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OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 8  |  Page : 1339

Iris nodules in Fuchs heterochromic iridocyclitis


Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India

Date of Web Publication22-Jul-2019

Correspondence Address:
Dr. Vinod Kumar
Dr R P Centre for Ophthalmic Sciences, AIIMS, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2105_18

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How to cite this article:
Shaikh N, Kumar V, Venkatesh P. Iris nodules in Fuchs heterochromic iridocyclitis. Indian J Ophthalmol 2019;67:1339

How to cite this URL:
Shaikh N, Kumar V, Venkatesh P. Iris nodules in Fuchs heterochromic iridocyclitis. Indian J Ophthalmol [serial online] 2019 [cited 2019 Aug 25];67:1339. Available from: http://www.ijo.in/text.asp?2019/67/8/1339/263135



A 20-years-old male with complaints of blurring of vision in OS since 6 months was seen with no significant systemic history. On examination, anterior segment of OD was normal with OS showing stellate KPs, anterior chamber reaction as 3 + cells, mild iris hypochromia, multiple iris nodules both at the pupillary border (Koeppe) and on the iris surface (Busaca) with posterior sub-capsular cataract [Figure 1]. Fundus OU was normal. The patient was advised topical steroids and mydriatic cycloplegics and was advised regular follow-up.
Figure 1: Normal iris pattern in OD (a). Loss of iris structure, hypochromia, and multiple nodules located on the anterior surface of iris (Busaca) and pupillary border (Koeppe) in OS (b). Magnified view of the iris nodules seen on iris surface and pupillary border (c)

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Iris nodules in the setting of FHI are rare as it is typically classified as non-granulomatous uveitis. In large series of FHI, iris nodules have been reported in 14–28%[1],[2],[3] of the cases.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Tandon M, Malhotra PP, Gupta V, Sharma A. Spectrum of Fuchs uveitic syndrome syndrome in a North Indian population. Ocul Immunol Inflamm 2012;20:429-33.  Back to cited text no. 1
    
2.
Yang P, Fang W, Jin H, Li B, Chen X, Kiljstra A. Clinical features of Chinese patients with Fuchs' syndrome. Ophthalmology 2006;113:473-80.  Back to cited text no. 2
    
3.
Nalçacıoǧlu P, Çakar Özdal P, Şimşek M. Clinical characteristics of Fuchs' uveitis syndrome. Türk Oftalmoloji Dergisi 2016;46:52-7.  Back to cited text no. 3
    


    Figures

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