Presumed juvenile xanthogranuloma of the iris and ciliary body in an adult
W. E. Bruner, W. J. Stark and W. R. Green
Juvenile xanthogranuloma (JXG) of the iris is extremely rare in adults. A
case of presumed JXG occurred in a 26-year-old woman who was seen initially
with bilateral iris lesions and spontaneous hyphema in one eye. Diagnosis
was based on the clinical picture and the finding of typical histiocytes
obtained by paracentesis and examined by a polymer filtration (Millipore)
cytopathologic techniques. Treatment with steroids (given orally and
topically to the eye) resulted in a substantial decrease in the size of the
iris lesion of the left eye. She has received no medications for 18 months
and has shown no signs of progression or other complications 24 months
after the initial diagnosis.
