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A case of epithelial inclusion cyst of iris.

Lee JH, Park MH, Kim HS - Korean J Ophthalmol (2008)

Bottom Line: Thirteen months previously, he had undergone primary closure of a 6 mm full-thickness corneal laceration.The patient's visual acuity recovered to 20/40 without complications.There was no recurrence as determined by slit lamp examination up to 6 months after treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

ABSTRACT
To report on an epithelial inclusion cyst of the iris that was successfully treated with needle aspiration and Ab externo laser photocoagulation. A 6-year-old boy was treated for a 6.0 mm fluid-filled cyst in the anterior chamber of the right eye. Thirteen months previously, he had undergone primary closure of a 6 mm full-thickness corneal laceration. The subsequent cyst was diagnosed as an epithelial inclusion cyst of the iris. His vision decreased to finger-count at 30 cm as the cyst grew over the pupil. We performed needle aspiration of the cyst and Ab externo laser photocoagulation of the cyst wall. The treated lesion was completely removed. The patient's visual acuity recovered to 20/40 without complications. There was no recurrence as determined by slit lamp examination up to 6 months after treatment. Needle aspiration and Ab externo laser photocoagulation can be used to effectively treat epithelial inclusion cysts of the iris.

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Postoperative anterior segment photograph after needle aspiration and Ab externo laser photocoagulation treatment showing shrinkage of the large cyst.
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Figure 3: Postoperative anterior segment photograph after needle aspiration and Ab externo laser photocoagulation treatment showing shrinkage of the large cyst.

Mentions: The patient was treated with a 27-Gauge needle aspiration of the cyst at the nasal side of corneal limbus (Fig. 2A) after making a side puncture at the temporal side of the cornea limbus. Viscodissection of the cyst separated the cyst from the corneal endothelium. Then, laser photocoagulation was performed with an endolaser (Ultima 2000SE, Coherent. Inc., USA) at 200 mW and a total of 40 pulses in the epithelial wall with an endolaser probe (curved maximum focused endo ocular laser probe 55.29L, Synergetics Inc., USA) from the external cornea (Fig. 2B). We aspirated 0.04 ml, and cell cytology showed amorphous fluid with no cells. After needle aspiration and laser photocoagulation, an anterior segment photograph showed shrinkage of the cyst (Fig. 3). Upon examination 10 days after treatment, the cornea was relatively clear and the anterior chamber was deep and clear. The best-corrected visual acuity was 20/20 in the left eye and 20/100 in the right eye. The patient's right eye was medicated with 0.3% tobramycine and 0.1% fluorometholone (Ocumetholone®) eye drops every 6 hours.


A case of epithelial inclusion cyst of iris.

Lee JH, Park MH, Kim HS - Korean J Ophthalmol (2008)

Postoperative anterior segment photograph after needle aspiration and Ab externo laser photocoagulation treatment showing shrinkage of the large cyst.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2629910&req=5

Figure 3: Postoperative anterior segment photograph after needle aspiration and Ab externo laser photocoagulation treatment showing shrinkage of the large cyst.
Mentions: The patient was treated with a 27-Gauge needle aspiration of the cyst at the nasal side of corneal limbus (Fig. 2A) after making a side puncture at the temporal side of the cornea limbus. Viscodissection of the cyst separated the cyst from the corneal endothelium. Then, laser photocoagulation was performed with an endolaser (Ultima 2000SE, Coherent. Inc., USA) at 200 mW and a total of 40 pulses in the epithelial wall with an endolaser probe (curved maximum focused endo ocular laser probe 55.29L, Synergetics Inc., USA) from the external cornea (Fig. 2B). We aspirated 0.04 ml, and cell cytology showed amorphous fluid with no cells. After needle aspiration and laser photocoagulation, an anterior segment photograph showed shrinkage of the cyst (Fig. 3). Upon examination 10 days after treatment, the cornea was relatively clear and the anterior chamber was deep and clear. The best-corrected visual acuity was 20/20 in the left eye and 20/100 in the right eye. The patient's right eye was medicated with 0.3% tobramycine and 0.1% fluorometholone (Ocumetholone®) eye drops every 6 hours.

Bottom Line: Thirteen months previously, he had undergone primary closure of a 6 mm full-thickness corneal laceration.The patient's visual acuity recovered to 20/40 without complications.There was no recurrence as determined by slit lamp examination up to 6 months after treatment.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

ABSTRACT
To report on an epithelial inclusion cyst of the iris that was successfully treated with needle aspiration and Ab externo laser photocoagulation. A 6-year-old boy was treated for a 6.0 mm fluid-filled cyst in the anterior chamber of the right eye. Thirteen months previously, he had undergone primary closure of a 6 mm full-thickness corneal laceration. The subsequent cyst was diagnosed as an epithelial inclusion cyst of the iris. His vision decreased to finger-count at 30 cm as the cyst grew over the pupil. We performed needle aspiration of the cyst and Ab externo laser photocoagulation of the cyst wall. The treated lesion was completely removed. The patient's visual acuity recovered to 20/40 without complications. There was no recurrence as determined by slit lamp examination up to 6 months after treatment. Needle aspiration and Ab externo laser photocoagulation can be used to effectively treat epithelial inclusion cysts of the iris.

Show MeSH
Related in: MedlinePlus