Eyelids and Anterior Segment : Case fourteen

This 65 year old man was referred by his optician because of a decreased right visual acuity.

a. What two physical signs can be seen in this picture?

Cataract and ectropion uveae
b. What is the significance of the iris appearance?
Ectropion uveae is seen in the following condition:
  • isolated finding: the condition is non-progressive and has no visual consequence
  • iridotrabecular dysgenesis with glaucoma: this typically present in childhood and should be excluded
  • neurofibromatosis type 1
  • rubeosis iridis
  • iris tumours
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