About The Iris
The iris is a thin, circular organ within your eye that constricts or dilates in order to control the amount of light getting to your retina. Some patients have "spots" or "freckles" in one or both of their eyes. At Retina Consultants of Houston, we see patients who were born with changes in the iris or who developed changes in the iris as an adult. While most of these growths never need treatment, some can rarely develop into malignant tumors, such as an iris or iridiociliary melanoma.
It is highly recommended that you have these spots checked out by an eye care specialist. We have multiple locations in the Houston, TX area for you to make an appointment.
Iris nevi, or freckles, can be brown, yellow, or grayish in color. They can be small and flat or small and raised. They sometimes have cysts (fluid-filled spaces) in them and are detected by an ultrasound. Most of the time, the freckles occur at the bottom half of the iris. Many iris nevi do not change or grow (if they do, the progression is very slow). An iris melanoma (a malignant tumor of the iris) can develop, but it is rare.
For an iris melanoma (a malignant tumor that arises from the iris itself), treatment consists of surgery to remove the tumor, radiation, or sometimes even just observation. Iris tumors tend to be small, grow much more slowly, and metastasize less often than malignant tumors that arise from other parts of the eye.
Metastasis to the eye (cancer which arises in another part of the body and travels to the eye) is relatively rare, but it can happen. Iris tumors from metastases often regress when the underlying cancer is treated with systemic (intravenous) chemotherapy, but they are sometimes treated with surgery or radiation.
"Mine was, more or less, an urgent situation, so I was very lucky to be able to see her. She had a staff who did the photos/preliminary exams and they were excellent. When I saw her, she had all the results. The news was good and she gave me all the info I needed. To me, time spent was not relevant, as she gave me all the time I needed to ask questions. Since the news was good, I had very few questions."- F.A. / Healthgrades / Oct 06, 2018
"Five Stars - My husband and I have been Dr Kim’s patient for over 17 years. She is a compassionate, knowledgeable, detailed oriented doctor with excellent bedside manner. She had saved my husband’s vision from macular degeneration. We all love her and will be her faithful patients forever."- Anonymous / Vitals / Jul 19, 2018
"For the last three years I've been treated by the Retina Consultants of Houston at the Sugar Land location and have been extremely satisfied with the very professional, courteous staff and Dr. Chen. When at the office in the waiting rooms I've spoken with numerous other patients who have all had the same comments of satisfaction. My observations have always been that the staff and doctors work hard to keep patients waiting time at a minimum, while maintaining the excellent quality of care. I would not go any where else."- S.R. / Google / Jun 22, 2018
"Dr. Brown is an excellent surgeon. If you want the best, you have to make a sacrifice. I have been a patient of Dr. Brown, for decades, and I would recommend him to anyone. I would be completely blind if not for Dr. Brown, and God, the Most Holy of Holy."- M.S. / Healthgrades / May 16, 2018
"My left retina had tear in it and I had no clue of what was happening, but was referred to the Retina Consultants of Houston and was blessed with meeting Dr. Wykoff. He repaired my eye while explaining everything in detail and helping me to feel comfortable. Less than a year later my right eye did the same thing but a little worse. Nowadays, I will only let Dr. Wykoff work on me. I am seeing great today and at 58 have zero floaters, etc. This Doctor is the best."- C.P. / Google / Mar 16, 2018
At Retina Consultants of Houston, we see any patient who has concerns about the spot or spots in their eyes. We do know that you are more likely to have iris nevi if you are:
- 40 – 60 years of age
- Have light-colored eyes (blue, green, or gray)
With your annual eye examination, you should have any suspicious growths, symptoms, or changes in the appearance of your eyes. If your primary eye care provider feels that an ocular or retina specialist needs to take a look at your eyes, he or she may refer you to an ophthalmologist practice to be clinically diagnosed. At Retina Consultants of Houston, we provide our patients and referral patients with state-of-the-art tools to perform a comprehensive ophthalmic exam, imaging, ultrasounds, and other needed tests you may need. A biopsy may be required for iris tumors.
Treatment and Prognosis
Small, flat iris freckles or nevi can be observed by a primary eye care provider. For more suspicious tumors, you will need to see an ocular oncologist. Your treatment may consist of observation, surgery, chemotherapy, radiation, immunotherapy, or a blend of several of these approaches.
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We can understand your concern for your health when you notice a new spot or growth in your eye. Retina Consultants of Houston has multiple locations in the Houston, TX area and all are equipped and ready to help you examine your options. Find out more about your condition. Call today.