Are iris masses in lung carcinoma always a metastasis: Two case reports

Figure 1 Case 1. A: Slit-lamp bio-microscopy image of the left eye showing congestion and iris mass from 11 o'clock to 1 o'clock (orange arrow) with whitish flocculated materials deposition over iris and in the anterior chamber; B: Higher magnification (16 ×) image showing dispersed whitish flocculent material in the anterior chamber and neovascularization of iris (arrow); C: Post chemotherapy appearance of the left eye shows the disappearance of the iris mass and the flocculent materials, with post-inflammatory ectropion uvea and posterior synechiae from 12 o'clock to 3 o'clock (orange arrow).

Figure 2 Iris nodules at presentation (Case 2). A: Multiple semi-transparent, jelly like nodules were found in multiple quadrants (arrows); B: Neovascularization of the iris between 7 o'clock and 9 o'clock Figure (arrow); C: There were pigments on the endothelium (arrow); D: Gonioscopy revealed open angles in both eyes with localized peripheral anterior synechiae (asterisk).

Figure 3 Case 1. A: Hematoxylin-eosin stained smear of aspirated material from the anterior chamber shows the hypercellularity under 10 × magnification; B: May-Grunwald Giemsa stained smear under 40 × magnification shows small blue round cells with high N:C ratio.

Figure 4 Postoperatively (Case 2). A: Iris nodules showed some regression (arrow); B: Neovascularization of the iris also regressed (arrow); C: Intraocular pressure was controlled with diffuse, moderately elevated relatively avascular bleb (arrow); D: Cornea was clear with no endothelial deposits.