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Vitiligo Iridis: A case report

Indian Journal of Clinical and Experimental Ophthalmology, ISSN: 2395-1451, Vol: 6, Issue: 1, Page: 145-147
2020
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Article Description

Aim: To report an unusual case of vitiligo iridis. Case Report: We examined a 55 year old woman attending our OPD with diminution of vision. Upon examination, we found multiple greyish-white circular spots on the anterior surface of the iris with punched out margins in the left eye. She also had a history of small pox in the past. Vitiligo iridis is a rare sequelae of Variola (small pox) infection. There are a few causes like surgical trauma, chronic iridocyclitis, chronic glaucoma, etc., which can cause iris atrophic patches but Variola infection is the most common cause of vitiligo iridis presenting with focal areas of iris atrophy. Conclusion: Even though the small pox has been eradicated, the patients of the elderly age group might present with the incidental findings of vitiligo iridis, which may or may not be associated with elevated intraocular pressure. Vitiligo iridis can present as a complication of a number of conditions. Hence, finding out the probable cause becomes of great importance to help prevent misdiagnosis as an unrelated cause of focal or multifocal iris atrophy. This can in turn help further management of the underlying cause.

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