Hyphema as the initial sign of iris metastasis of hepatocellular carcinoma Masae Shiba 1 , Kenji Shiba 1 , Norihiko Maki 2 , Soutarou Mushiake 3 , Masahiro Nakayama 3 1Shiba Eye Clinic 2Dept of Internal Med, Maki Hosp 3Osaka Med Center and Research Institute for Maternal and Child Health pp.667-669
Published Date 1998/4/15
DOI https://doi.org/10.11477/mf.1410905831
  • Abstract
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A 40-year-old male sought medical advice for blurring and pain in his left eye of 2 weeks' duration. He had been suffering from hepatocellular carcinoma with liver cirrhosis since 4 years before. The affected eye showed elevated intraocular pressure and hyphema. After resolution of hyphema, we identified a yellowish gray nodule on the nasal sector of the iris. The patient died 39 days later after his initial visit. Histological postmortem studies showed the iris nodule to be an unusual metastasis to the iris originating from the hepatocellular carcinoma.

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