title: Tapioca melanoma of the iris without iris heterochromia.
abstract: OBJECTIVE
  A case of a teenage girl with tapioca melanoma of the iris is presented. This case is unusual, as the patient did not have heterochromia and did not present with elevated intraocular pressure.
  
  
  METHODS
  A 14-year-old female patient presented with an amelanotic, multinodular, multifocal lesion of the right iris. Pathology confirmed a diagnosis of tapioca melanoma using immunohistologic staining. The patient underwent enucleation of her right eye and has been free of metastatic disease 3 years later.
  
  
  CONCLUSIONS
  Tapioca melanoma of the iris must be included among the other differential diagnoses when examining patients with amelanotic iris lesions, even when iris heterochromia is not clearly evident.
authors.affiliation: *DO, MPH †OD ‡MD §CRA ∥BSc(Hons), CDOS **MD, MBA Nova Southeastern University College of Osteopathic Medicine (AB), Fort Lauderdale-Davie, Florida and Larkin Community Hospital, South Miami, Florida; Malawi School of Optometry (SMc), Mzuzu University, Malawi; Murray Ocular Oncology & Retina (ASG, VMV, ACW, FJE, TGM), Miami, Florida; Bascom Palmer Eye Institute (JMT, JAB-M, SRD), Miller School of Medicine, University of Miami, Miami, Florida; and Florida Lions Ocular Pathology Laboratory (SRD), Miami, Florida.
authors.forename: Austin
authors.initials: A
authors.lastname: Bach
authors.forename: Sara
authors.initials: S
authors.lastname: McGowan
authors.forename: Aaron S
authors.initials: AS
authors.lastname: Gold
authors.forename: Victor M
authors.initials: VM
authors.lastname: Villegas
authors.forename: Andrea C
authors.initials: AC
authors.lastname: Wildner
authors.forename: Fiona J
authors.initials: FJ
authors.lastname: Ehlies
authors.forename: Jordan M
authors.initials: JM
authors.lastname: Thompson
authors.forename: Jose Antonio
authors.initials: JA
authors.lastname: Bermudez-Magner
authors.forename: Sander R
authors.initials: SR
authors.lastname: Dubovy
authors.forename: Timothy G
authors.initials: TG
authors.lastname: Murray
mesh_terms: D000293:Adolescent; D015353:Eye Enucleation; D005260:Female; D006801:Humans; D007499:Iris Diseases / Q000473:pathology*; D015811:Iris Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D018328:Melanoma, Amelanotic / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D010859:Pigmentation Disorders / Q000473:pathology*; D014463:Ultrasonography