Iris Mamillations

• A rare condition
• Usually unilateral and occurs sporadic

Clinical Features

• Symptoms: 
  • Asymptomatic
  • May cause increased intraocular pressure
• Signs:
  • Distinctive smooth conical and villiform (tiny nipple-like) elevations with uniform height and a regularly spaced arrangement
  • Overlie areas of hyperpigmented iris
  • May partially or totally cover the anterior surface of the iris
• Has been associated with oculodermal melanosis
• May sometimes be confused with iris nodules seen in neurofibromatosis 1