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Medientyp:
E-Artikel
Titel:
Successful Argon and Diode Laser Photocoagulation Treatment of an Iris Varix with Recurrent Hemorrhage
Beteiligte:
Matlach, Juliane;
Kasper, Karsten;
Kasper, Berit;
Klink, Thomas
Erschienen:
SAGE Publications, 2013
Erschienen in:
European Journal of Ophthalmology, 23 (2013) 3, Seite 431-435
Sprache:
Englisch
DOI:
10.5301/ejo.5000242
ISSN:
1724-6016;
1120-6721
Entstehung:
Anmerkungen:
Beschreibung:
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.