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Successful management of a large traumatic iris cyst
, 1, 1
Affiliations- Ophthalmology B Department, Ibn Sina University Hospital, Rabat, Morocco
open access
Abstract
Background: Iris cysts are rare lesions of the anterior segment of the eye, they can be congenital or acquired. The
management of acquired post-traumatic iris cysts remains difficult.
Case report: We report the case of a 24-year-old girl who presented with a progressive decrease in vision in the left
eye with pain and redness for the past few months. She had a history of penetrating injury in the same eye 14 years
ago. The slit lamp examination identified a corneal scar at 7’ o’clock and a large iris cyst deforming the pupillary area.
Ultrasound biomicroscopy (UBM) has confirmed the benign nature of the cyst. Anterior segment optical coherence tomography (AS-OCT) has shown the contact of the external layer of the cyst with the corneal endothelium. Surgical
management consisted of soft viscodissection to separate the cyst from the corneal endothelium followed by complete excision of the external layer of the cyst.
Conclusion: The postoperative course was simple with good visual outcome.
Abstract
Background: Iris cysts are rare lesions of the anterior segment of the eye, they can be congenital or acquired. The
management of acquired post-traumatic iris cysts remains difficult.
Case report: We report the case of a 24-year-old girl who presented with a progressive decrease in vision in the left
eye with pain and redness for the past few months. She had a history of penetrating injury in the same eye 14 years
ago. The slit lamp examination identified a corneal scar at 7’ o’clock and a large iris cyst deforming the pupillary area.
Ultrasound biomicroscopy (UBM) has confirmed the benign nature of the cyst. Anterior segment optical coherence tomography (AS-OCT) has shown the contact of the external layer of the cyst with the corneal endothelium. Surgical
management consisted of soft viscodissection to separate the cyst from the corneal endothelium followed by complete excision of the external layer of the cyst.
Conclusion: The postoperative course was simple with good visual outcome.
Keywords
large traumatic iris cyst; UBM; AS-OCT; surgical management
About this articleTitle
Successful management of a large traumatic iris cyst
Journal
Issue
Vol 5 (2020): Continuous Publishing
Article type
Case report
Pages
60-63
Published online
2020-07-20
Page views
584
Article views/downloads
622
DOI
Bibliographic record
Ophthalmol J 2020;5:60-63.
Keywords
large traumatic iris cyst
UBM
AS-OCT
surgical management
Authors
Imane Chabbar
Louai Serghini
Amina Berraho
References (15)- Zografos L, Uffer S. Tumeurs du complexe iridociliaire. EMC — Ophtalmol. 2004; 1(2): 1–12.
- Shields CL, Kancherla S, Patel J, et al. Clinical survey of 3680 iris tumors based on patient age at presentation. Ophthalmology. 2012; 119(2): 407–414.
- Gupta V, Rao A, Sinha A, et al. Post-traumatic inclusion cysts of the iris: a longterm prospective case series. Acta Ophthalmol Scand. 2007; 85(8): 893–896.
- Moreno-López M, Arruabarrena C, Regueras A, et al. [Conservative surgical management of a post-traumatic iris cyst]. Arch Soc Esp Oftalmol. 2007; 82(7): 455–457.
- Regis A, Roussat B, Ullern M, et al. Kyste congénital du stroma irien. J Franç Ophtalmol. 2004; 27(4): 379–382.
- Rao A, Gupta V, Bhadange Y, et al. Iris cysts: a review. Semin Ophthalmol. 2011; 26(1): 11–22.
- Roche O, Orssaud C, Beby F, et al. Ultrabiomicroscopie et physiopathologie des kystes iriens congénitaux. J Franç Ophtalmol. 2007; 30(1): 25–30.
- Bianciotto C, Shields CL, Guzman JM, et al. Assessment of anterior segment tumors with ultrasound biomicroscopy versus anterior segment optical coherence tomography in 200 cases. Ophthalmology. 2011; 118(7): 1297–1302.
- Hau SC, Papastefanou V, Shah S, et al. Evaluation of iris and iridociliary body lesions with anterior segment optical coherence tomography versus ultrasound B-scan. Br J Ophthalmol. 2015; 99(1): 81–86.
- Tsai J, Arrindell E, O’Day D. Needle aspiration and endodiathermy treatment of epithelial inclusion cyst of the iris. Am J Ophthalmol. 2001; 131(2): 263–265.
- Shields CL, Arepalli S, Lally EB, et al. Iris stromal cyst management with absolute alcohol-induced sclerosis in 16 patients. JAMA Ophthalmol. 2014; 132(6): 703–708.
- Xiao Y, Wang Y, Niu G, et al. Transpupillary argon laser photocoagulation and Nd:YAG laser cystotomy for peripheral iris pigment epithelium cyst. Am J Ophthalmol. 2006; 142(4): 691–693.
- Al-Ghadeer H, Al-Towerki AE, Al-Rajhi A, et al. Long-term follow-up and visual outcome after excision of a traumatic iris cyst by viscoelastic dissection. Int Ophthalmol. 2011; 31(6): 529–531.
- Dorecka M, Miniewicz-Kurkowska J, Michalska-Małecka K, et al. Needle aspiration with surgical excision of an epithelial post traumatic iris cyst – a case report. Med Sci Monit. 2011; 17(5): CS60–CS2.
- Georgalas I, Petrou P, Papaconstantinou D, et al. Iris cysts: A comprehensive review on diagnosis and treatment. Surv Ophthalmol. 2018; 63(3): 347–364.