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Iris freckle - External and Internal Eye
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Iris freckle - External and Internal Eye

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Contributors: Brandon D. Ayres MD, Christopher Rapuano MD, Harvey A. Brown MD, Sunir J. Garg MD, Lauren Patty Daskivich MD, MSHS
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Synopsis

An iris freckle is a flat, superficial pigmented lesion of the iris that does not alter the iris architecture. Importantly, these lesions have virtually no malignant potential; other pigmented lesions of the iris arising from the iris stroma do, however. Typically, iris freckles are not seen unless someone notices it and mentions it to the patient, or a close-up photograph reveals the lesion. There are no symptoms associated with an iris freckle.

Codes

ICD10CM:
H21.239 – Degeneration of iris (pigmentary), unspecified eye

SNOMEDCT:
95710002 – Freckle of iris

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

  • Iris nevus
  • Melanoma
  • Choroidal or ciliary body melanoma
  • Iris cyst
  • Hemangioma
  • Metastatic carcinoma
  • Iridocorneal endothelial (ICE) syndromes
  • Iris foreign body
What is most critical is a careful notation of all of the physical features of these iris lesions and their growth or lack thereof.

Best Tests

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Management Pearls

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Therapy

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References

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Last Updated: 02/17/2014
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Iris freckle - External and Internal Eye
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Iris freckle : Eye, Iris nodules and spots, Unilateral
Clinical image of Iris freckle
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