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Iris Vascular Tuft Causing Recurrent Hyphema and Raised IOP: A New Indication for Laser Photocoagulation, Angiographic Follow-up, and Review of Laser Outcomes

Goyal, Saurabh FRCS, FRCOphth; Foster, Paul J. PhD, FRCS (Ed); Siriwardena, Dilani FRCOphth

doi: 10.1097/IJG.0b013e3181bd899b
Case Reports

We report the first case of iris vascular tuft (Cobb's tuft) causing recurrent spontaneous hyphema and raised intraocular pressure that underwent laser photocoagulation (LaP). For the first time, we report fluorescein angiogram guided LaP of the lesion and feeder vessels and 1 year angiographic follow up. We also review indications and outcomes of LaP of iris vascular tufts in the literature.

Moorfields Eye Hospital, London, UK

The authors confirm that there is no funding or support to disclose.

Reprints: Saurabh Goyal, FRCS, FRCOphth, Glaucoma Service, Moorfields Eye Hospital, 162, City Road, London EC1 V 2PD, UK (e-mail:

Received for publication April 18, 2009

accepted August 9, 2009

© 2010 Lippincott Williams & Wilkins, Inc.