University of Iowa Health Care

Ophthalmology and Visual Sciences

Adenomatous Tumor of the Ciliary Body

This 35 year old woman was first noted to have an iris lesion on the left side 3 to 4 months prior to presentation. She was in excellent health and has no history suggestive of another malignancy. On ultrasound the lesion measured 3.8 mm in height and one-third of the lesion was behind the ciliary body. A fine needle aspiration biopsy was performed that was not consistent with melanoma but contained eosinophils and macrophages suggesting a granulomatous process. A biopsy was attempted but the tumor was quite friable. Ultimately the entire mass was removed with iridocyclectomy. The pathology was suggestive of either a benign adenoma of the nonpigmented ciliary body epithelium or a metastatic lesion. The patient was evaluated for other primary tumors and none were found.