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Iris melanoma in a child treated with iridectomy and a phakic iris repair implant lens: a case report of 8 years postoperative follow-up
  1. R J W de Keizer1,2,
  2. L Razzaq1,
  3. M J Tassignon2,
  4. A M Verbeek3
  1. 1Department of Ophthalmology, Leiden University Medical Center (LUMC), Leiden, The Netherlands
  2. 2Department of Ophthalmology, Antwerp University Hospital, Antwerp, Belgium
  3. 3Department of Ophthalmology, Nijmegen University Medical Center, Nijmegen, The Netherlands
  1. Correspondence to Professor R J W de Keizer, Department of Ophthalmology, Leiden University Medical Center (LUMC), Albinusdreef 2, Post Box 9600, 2300 RC, Leiden, The Netherlands; r.j.w.de_Keizer{at}lumc.nl

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The incidence of iris melanoma is 8% of all the uveal melanomas.1 In children and adolescents, iris melanoma accounts for 0.6–1.6% of all the uveal melanomas.2 We present a case of iris melanoma in a young boy treated with iridectomy and a phakic iris repair implant lens.

A 12-year-old boy was referred to the Department of Ophthalmology, Antwerp and then to Leiden because of a melanocytic lesion on the right iris without complaints. The visual acuity was 20/20 in both the eyes. Slit-lamp examination showed a pigmented iris lesion in the inferior quadrant of the right eye with diameter of 6.8 mm. The pupil showed a visible deformation, and an abnormal vasculature was present with ectropion uvea (figure 1A). Gonioscopy revealed a flat pigmented lesion extending in the open anterior chamber angle. …

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