Management of health tumour like lesion of the anterior chamber

Medical treatment by steroids, systemic and topical, was used in 68 patients suffering from pearl tumor like lesion. Disappearance of the lesion occurred only in 3 eyes. Aspiration of the lesion was employed in 23 eyes, in 14 of them the lesion disappeared, in 5 eyes it was followed by a membrane like sheet on the anterior iris surface. In 3 eyes, it was very difficult to aspirate the mass. Excision of the residual membrane was performed in 8 eyes with a good results and minimal complications. Destruction by YAG laser was done in four eyes, one of them had recurrence and mild iritis was noticed in most of cases