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Needle aspiration with surgical excision of an epithelial posttraumatic iris cyst--a case report.

Dorecka M, Miniewicz-Kurkowska J, Michalska-Małecka K, Świątek B, Romaniuk W - Med. Sci. Monit. (2011)

Bottom Line: She observed deterioration of her visual acuity 1 year before her visit to our clinic.Visual acuity was 0.06.Histopathologic examination confirmed an epithelial cyst.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, University Hospital No5, Medical University of Silesia, Katowice, Poland. marioladorecka@wp.pl

ABSTRACT

Background: The aim of this study was to report on epithelial posttraumatic iris cyst that was successfully treated with needle aspiration and surgical excision with surrounding iris tissue.

Case report: A 30-year-old women was treated for a large fluid-filled cyst in the anterior chamber of the left eye; 25 years before, she had an open globe injury. She observed deterioration of her visual acuity 1 year before her visit to our clinic. During ophthalmological examination, an iris cyst was diagnosed. As a result, she had Nd: YAG laser puncture of the cyst in the left eye, performed 5 months before she came to our clinic. After a short time of decompression, the cyst rapidly grew in size (2/3 of the anterior chamber), and her visual acuity was getting worse due to an aggressive growth of the iris cyst. Visual acuity was 0.06. Needle aspiration with surgical excision of the cyst with surrounding iris tissue was performed. Histopathologic examination confirmed an epithelial cyst. At the 1-year follow-up, there was no evidence of recurrence of the iris cyst, and BCVA was 0.2.

Conclusions: This case report provides evidence that needle aspiration with surgical excision of iris cyst seems to be an effective treatment method of this complication.

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Related in: MedlinePlus

The left eye – the epithelial iris cyst before surgery.
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f1-medscimonit-17-5-cs60: The left eye – the epithelial iris cyst before surgery.

Mentions: On admission, a slit lamp examination revealed a corneal scar at the 9 o’clock position and the presence of an extensive fluid-filled iris cyst. It occupied 2/3 of the anterior chamber and overlapped the pupil. The cyst was in contact with corneal endothelium and the lens, resulting in partial corneal edema and cataract (Figure 1). The fundus examination did not show any abnormalities. Best corrected visual acuity (BCVA) of the left eye was 0.06 and intraocular pressure was 20 mmHg.


Needle aspiration with surgical excision of an epithelial posttraumatic iris cyst--a case report.

Dorecka M, Miniewicz-Kurkowska J, Michalska-Małecka K, Świątek B, Romaniuk W - Med. Sci. Monit. (2011)

The left eye – the epithelial iris cyst before surgery.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3539601&req=5

f1-medscimonit-17-5-cs60: The left eye – the epithelial iris cyst before surgery.
Mentions: On admission, a slit lamp examination revealed a corneal scar at the 9 o’clock position and the presence of an extensive fluid-filled iris cyst. It occupied 2/3 of the anterior chamber and overlapped the pupil. The cyst was in contact with corneal endothelium and the lens, resulting in partial corneal edema and cataract (Figure 1). The fundus examination did not show any abnormalities. Best corrected visual acuity (BCVA) of the left eye was 0.06 and intraocular pressure was 20 mmHg.

Bottom Line: She observed deterioration of her visual acuity 1 year before her visit to our clinic.Visual acuity was 0.06.Histopathologic examination confirmed an epithelial cyst.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, University Hospital No5, Medical University of Silesia, Katowice, Poland. marioladorecka@wp.pl

ABSTRACT

Background: The aim of this study was to report on epithelial posttraumatic iris cyst that was successfully treated with needle aspiration and surgical excision with surrounding iris tissue.

Case report: A 30-year-old women was treated for a large fluid-filled cyst in the anterior chamber of the left eye; 25 years before, she had an open globe injury. She observed deterioration of her visual acuity 1 year before her visit to our clinic. During ophthalmological examination, an iris cyst was diagnosed. As a result, she had Nd: YAG laser puncture of the cyst in the left eye, performed 5 months before she came to our clinic. After a short time of decompression, the cyst rapidly grew in size (2/3 of the anterior chamber), and her visual acuity was getting worse due to an aggressive growth of the iris cyst. Visual acuity was 0.06. Needle aspiration with surgical excision of the cyst with surrounding iris tissue was performed. Histopathologic examination confirmed an epithelial cyst. At the 1-year follow-up, there was no evidence of recurrence of the iris cyst, and BCVA was 0.2.

Conclusions: This case report provides evidence that needle aspiration with surgical excision of iris cyst seems to be an effective treatment method of this complication.

Show MeSH
Related in: MedlinePlus