Iris nodules in Fuchs heterochromic iridocyclitis.

A 20-years-old male with complaints of blurring of vision in OS since 6 months was seen with no significant systemic history. On examination, anterior segment of OD was normal with OS showing stellate KPs, anterior chamber reaction as 3 + cells, mild iris hypochromia, multiple iris nodules both at the pupillary border (Koeppe) and on the iris surface (Busaca) with posterior sub-capsular cataract [Fig. 1]. Fundus OU was normal. The patient was advised topical steroids and mydriatic cycloplegics and was advised regular follow-up.

Figure 1

Normal iris pattern in OD (a). Loss of iris structure, hypochromia, and multiple nodules located on the anterior surface of iris (Busaca) and pupillary border (Koeppe) in OS (b). Magnified view of the iris nodules seen on iris surface and pupillary border (c)

Iris nodules in the setting of FHI are rare as it is typically classified as non-granulomatous uveitis. In large series of FHI, iris nodules have been reported in 14–28%[123] of the cases.

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