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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. …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.