XXXX . Unusual clinical findings intimating the diagnosis.

@entity808 @entity1 @entity231 @entity5 @entity3928 @entity726
BACKGROUND: @entity808 ( @entity808 ) rarely occur intraocularly. When present, they pose a diagnostic dilemma for the physician and often are mistaken as a @entity5 , resulting in enucleation. METHODS: The authors report the clinical findings of a 46-year-old @entity1 with a slowly progressive growing mass of the anterior chamber, associated with @entity726 and the development of @entity231 . To further delineate the @entity5 's features, ancillary techniques, including ultrasonography, computed tomography, and magnetic resonance imaging, were conducted. A definitive anterior chamber biopsy of the @entity5 was performed with histologic examination and electron microscopy. RESULTS: Ultrasonography, high-resolution computed tomography and magnetic resonance imaging showed a well-delineated mass of the inferior ciliary body involving nearly 5 clock hours of the angle. Two clinical features that suggested a longstanding @entity5 were brilliant transillumination of the mass (leading to the impression of a " @entity3928 ," not corroborated by ultrasonography) and retrodisplacement of the involved iris root. The histology, and particularly the electron microscopic features, confirmed the diagnosis of a @entity808 , a @entity5 of the anterior segment. CONCLUSION: Intraocular @entity808 are extremely rare @entity5 . Few are well documented with modern ancillary techniques. Clinical findings in conjunction with radiographic and ultrasonic features may support the diagnosis of a @entity5 . For this @entity1 , confirmation via biopsy permitted combined @entity231 and @entity726 surgery to rehabilitate the eye, which retains 20/20 visual acuity 3 years after the procedure.
