Vol 5 (2020): Continuous Publishing
Case report
Published online: 2020-07-20

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Successful management of a large traumatic iris cyst

Imane Chabbar1, Louai Serghini1, Amina Berraho1
Ophthalmol J 2020;5:60-63.

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.

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