# Benign Eye Tumor

- Category: chronic
- Review status: reviewed (every claim checked against a document named on this page)
- Sources: ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class FD25.00 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care
- Verified date: 2026-08

## Verified against

- No dose - referral pathway, no medicine given in primary care
- Benign and Malignant Iris Tumors - disease-level clinical article (benign-eye-tumor-clinical.txt)
- Benign and Malignant Iris Tumors - disease-level clinical article (benign-eye-tumor-full.txt)

## Treatment metadata

- No drug therapy in primary care (Recognition & Referral)

## Complete treatment card

```text
BENIGN EYE TUMOR
Sources: ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class FD25.00 -
         condition scope only, no dose · No dose - referral pathway, no medicine given in primary
         care
Review status: REVIEWED against No dose - referral pathway, no medicine given in primary care,
               Benign and Malignant Iris Tumors - disease-level clinical article
               (benign-eye-tumor-clinical.txt), Benign and Malignant Iris Tumors -
               disease-level clinical article (benign-eye-tumor-full.txt)
               (2026-08)

IS IT THIS? - reference only, to read alongside your own examination
  SYMPTOMS - what the patient reports (2)
    - Patients often notice a discolored spot or patch on the iris themselves
    - Blurred vision and pain can occur but are not typical  [blurred vision · eye pain]
  SIGNS - what you find (7)
    - A pigment-epithelium iris cyst is one-sided, darker in color, and lets light pass through it
      [cyst]
    - A stromal iris cyst tends to appear in the first decade of life with a smooth, see-through
      front surface  [cyst]
    - An iris nevus is usually smaller than a melanoma, under 3 mm across and 1 mm thick
    - Iris pigment epithelium adenoma shows up as a dark grey lesion near the outer edge of the
      iris, sometimes with several nodules
    - Iris leiomyoma is typically a single, slow-growing, well-defined nodule that is lightly or not
      pigmented
    - Yellow nodules on the iris with bleeding into the eye and skin lesions point to juvenile
      xanthogranuloma  [bleeding · skin lesions]
    - Vascular growths on the iris often show up with sudden bleeding into the eye and resulting
      blurry vision  [bleeding]
  TESTS (6)
    - Checking eye pressure and the drainage angle is recommended given the risk of glaucoma with
      these growths
    - Ultrasound biomicroscopy helps size the lesion and tell a solid mass apart from a fluid-filled
      one
    - Fine-needle sampling can settle the diagnosis when imaging alone is not conclusive
    - Immunohistochemistry and electron microscopy are needed to confirm a leiomyoma, since it often
      mimics other growths
    - Chest imaging is advised when sarcoidosis is suspected as the cause of iris nodules
    - Fluorescein angiography is key to working up a vascular growth on the iris
  IF NOT THIS - what else fits (9)
    - Inflammatory granuloma
    - Epithelial ingrowth
    - Congenital iris heterochromia
    - Fuchs heterochromic iridocyclitis
    - Iris nevus syndrome
    - Pigment dispersion syndrome
    - Hemosiderosis
    - Pigmentary glaucoma
    - Ocular siderosis
  Source  StatPearls "Benign and Malignant Iris Tumors" - disease-level clinical article
  Status  traced to the source above

1. NO DRUG THERAPY IN PRIMARY CARE (RECOGNITION & REFERRAL)[1st line]
   Adult    A non-cancerous growth of the eye or its surrounding structures; a GP refers to
            ophthalmology for assessment and possible removal rather than treating it. - Refer
   Peds     Children follow the same pathway: recognise and refer. No primary-care medicine is
            implied.
   Source   No dose - referral pathway, no medicine given in primary care
   Why      A non-cancerous growth of the eye or its surrounding structures; a GP refers to
            ophthalmology for assessment and possible removal rather than treating it.
   Caution  RED FLAG - Visual field defects, proptosis, or increased intraocular pressure: assess
            urgently and refer.
            Rare in Egyptian primary care.
            No medicine is prescribed for this in primary care - this entry is for recognition and
            referral. Anything given is decided by the service it is referred to.
            RED FLAG - Patients should seek immediate medical attention for changes in vision, acute
            eye pain, or visible changes in the tumor due to secondary glaucoma risk.
            RED FLAG - Irregularly contoured lesions thicker than 0.5-1.0 mm, increased vasculature,
            spontaneous hyphema, or pupillary peeking indicate potential malignancy.
            RED FLAG - A change in the size or colour of the lesion, or bleeding from it: re-
            evaluate for malignant transformation.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.
```

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