Diktyoma mitotic activity, sarcomatous components, or invasion into the uvea, cornea, or sclera. Most diktyomas are malignant. The most common symptoms of diktyoma are vision loss and pain, while the most common signs are leukocoria and presence of a mass in the iris or ciliary body. Other signs and symptoms include lens subluxation, glaucoma, cataract, exophthalmos, buphthalmos, strabismus, and ptosis. Imaging studies such as ultrasonography (US), Computerized Tomography (CT) and Magnetic Resonance Imaging (MRI) may aid diagnosis. On ultrasound, diktyomas typically appear as echogenic, irregularly shaped to ovoid masses. Ultrasound is excellent for demonstrating cystic collections of vitreous fluid in the
Iris pigment epithelium Iris pigment epithelium The iris pigment epithelium (IPE) is a one cell thick layer of cuboidal cells lying behind the iris. The epithelial cells are highly pigmented due to the numerous large melanosomes which pack the cytoplasm of each cell. Towards the central axis, the IPE terminates at the pupillary margin. Peripherally, the IPE is continuous with the inner, non-pigmented layer of the ciliary epithelium. The iris dilator muscle is strictly attached to the anterior side of the iris pigmented epithelium and represents the anterior continuation of the pigmented ciliary epithelium. The ciliary epithelia represent the anterior continuation of the