Iris melanoma

How is it diagnosed?
An iris melanoma distorting the pupil margin

Iris naevi and melanomas are very small. They may be noted by the patient or friends but most are discovered during routine examination by an optometrist.

 

When a naevis or melanoma is discovered patients are referred to an ophthalmologist for futher examination.

 

Is it a melanoma? 

Ophthalmologists examine the eye with a slit lamp microscope looking for the presence or absence of a number of features known to be more common in melanomas than naevi.

 

Changes that suggest a pigment spot is likely to be a melanoma include:

  • Documented growth
  • Larger size and greater thickness
  • Variation in pigmentation
  • Distortion of the iris or pupil margin
  • Abnormal blood vessels
  • Glaucoma
  • Spread into surrounding parts of the eye