Optical coherence tomography of iris mammillations

Description 

A 10-year-old girl presented with blurred vision of 2 months. Uncorrected visual acuity was 20/20 in both eyes (OU). Refraction revealed 0.75 diopters of astigmatism OU. Visual blur was related to a moderate convergence insufficiency. The superior 90% of the left iris was darkly pigmented and velvety in consistency with regularly spaced protuberances (mammillations) (figure 1).

Figure 1

Slit lamp photograph of the right normal iris (A) and left dark velvety iris with mammillations (B). The inferior sector of the left iris is normal. Anterior segment optical coherence tomography (OCT) of the normal right iris demonstrates smooth surface with random crypts (C). OCT of the left eye shows numerous micronodules on the iris surface with flattening of the entire iris (D).

We present a novel anterior optical coherence tomography (OCT) report of iris mammillations.1 2...

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