• Media type: E-Article
  • Title: Successful Argon and Diode Laser Photocoagulation Treatment of an Iris Varix with Recurrent Hemorrhage
  • Contributor: Matlach, Juliane; Kasper, Karsten; Kasper, Berit; Klink, Thomas
  • Published: SAGE Publications, 2013
  • Published in: European Journal of Ophthalmology, 23 (2013) 3, Seite 431-435
  • Language: English
  • DOI: 10.5301/ejo.5000242
  • ISSN: 1724-6016; 1120-6721
  • Origination:
  • Footnote:
  • Description: Purpose To report successful laser treatment of an iris varix. Methods A 66-year-old man presented with an incidental finding of a cystic lesion within the iris stroma in his right eye. He developed a blood-filled and partly thrombosed tumor of the iris stroma and complained about blurred vision due to spontaneous hyphema during follow-up. Results Ultrasound biomicroscopy showed a prominent and liquid-filled lesion within the iris stroma. Iris fluorescein angiography revealed a thrombosed iris tumor without intrinsic vascularization or feeding vessels. Therefore, diagnosis of an iris varix was made clinically. Recurrent bleeding occurred during follow-up and led to decreased visual acuity. Combined argon and diode laser photocoagulation was successful in terminating rebleeding and resulted in a scarred iris varix. Conclusions Symptomatic iris varices can be treated safely by combined argon and diode laser photocoagulation, facilitating a less invasive approach than surgical excision.