Focal choroidal excavation associated with nonmelanocytic iris tumor

Purpose: To describe a unique unilateral association between an iris stromal tumor and a macular focal choroidal excavation. Case Description: A 40-year old patient presented with a small iris tumor associated with a unilateral macular lesion disclosed during a routine ophthalmologic examination. The patient was asymptomatic and visual function was not affected. After clinical and instrumental evaluation, a diagnosis of nonmelanocytic undefined stromal tumor of the iris associated with macular focal choroidal excavation was made. The size and shape of the two lesions remained stable during a 7-year follow-up and the patient did not develop other signs. Conclusion: The concurrent presence of a stromal iris tumor associated with focal choroidal excavation has never been reported. Further reports of this association are required in order to understand its exact pathogenesis.

Automated summary

This article describes a rare unilateral association between an iris stromal tumor and a macular focal choroidal excavation. A 40-year-old patient was found to have a small iris tumor and a macular lesion in one eye during a routine eye examination. The patient was asymptomatic and had normal visual function. After evaluation, the diagnosis of a nonmelanocytic undefined stromal tumor of the iris associated with macular focal choroidal excavation was made. The size and shape of the lesions remained stable during a 7-year follow-up, and no other symptoms developed. Further reports are necessary to understand the exact pathogenesis of this association.