Bilateral Iris Mamillations with Anterior Uveitis and Left-Sided Secondary Ocular Hypertension

A 30-year-old male presented with redness, watering, and pain in both eyes (OU) for 25 days and decreased vision for 1 week. His vision was 20/60 (OU), improving to 20/30 on pinhole examination. Anterior segment examination revealed bilateral iris mamillations (OS>OD), and anterior chamber cells 2+ and flare 1+ suggesting anterior uveitis OU [Figure 1a and b]. Intra-ocular pressures were 8 mm Hg (OD) and 35 mm Hg (OS). Posterior segment examination showed a healthy disc and macula OU. Iris mamillations are mostly unilateral but bilateral cases have also been reported rarely.[1,2] Systemic findings were normal. Patient showed improvement at 1 week after being treated with topical steroids and cycloplegic. We report a rare case of bilateral iris mamillations and anterior uveitis with secondary ocular hypertension OS.Figure 1: (a and b) Slit lamp photograph of pigmented iris mamillation in both eyesDeclaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understands that his name and initials will not be published and due efforts will be made to conceal their identity. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.