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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 – 6 months after surgery with needle aspiration and surgical excision of the epithelial iris cyst.
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f2-medscimonit-17-5-cs60: The left eye – 6 months after surgery with needle aspiration and surgical excision of the epithelial iris cyst.

Mentions: The patient was informed about her clinical status and was classified for the needle aspiration with surgical cyst removal. At the first step, 1.4% hyaluronate sodium (Haelon GV) was injected into the anterior chamber to viscodissect the cysts from epithelium. An ophthalmic viscosurgical device (OVD) was also injected beneath the cyst to protect the lens. Next, the content of the cyst was aspirated using a 27G needle, then the corneal incision was made. The cyst was completely removed by means of Vannas scissors, with a safe margin of surrounding iris tissue. The iris was sutured with 2 nylon 10.0 sutures and the pupil was reconstructed. The OVD was then removed and the corneal incision sutured. The removed cyst tissue was preserved and sent for histological analysis. There were no complications during the procedure. The histo-pathological analysis revealed an epithelial cyst. Middle anterior segment uveitis was observed 10 days after the operation, and was successfully treated by mydriatic, antibiotic and steroid drops. BCVA 10 days after surgery was 0.1. At present the patient is still being followed-up. The BCVA at 1-year follow-up was 0.2, intraocular pressure was 18 mmHg, and we did not notice any subsequent growth of the cyst (Figure 2).


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 – 6 months after surgery with needle aspiration and surgical excision of the epithelial iris cyst.
© Copyright Policy
Related In: Results  -  Collection

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

f2-medscimonit-17-5-cs60: The left eye – 6 months after surgery with needle aspiration and surgical excision of the epithelial iris cyst.
Mentions: The patient was informed about her clinical status and was classified for the needle aspiration with surgical cyst removal. At the first step, 1.4% hyaluronate sodium (Haelon GV) was injected into the anterior chamber to viscodissect the cysts from epithelium. An ophthalmic viscosurgical device (OVD) was also injected beneath the cyst to protect the lens. Next, the content of the cyst was aspirated using a 27G needle, then the corneal incision was made. The cyst was completely removed by means of Vannas scissors, with a safe margin of surrounding iris tissue. The iris was sutured with 2 nylon 10.0 sutures and the pupil was reconstructed. The OVD was then removed and the corneal incision sutured. The removed cyst tissue was preserved and sent for histological analysis. There were no complications during the procedure. The histo-pathological analysis revealed an epithelial cyst. Middle anterior segment uveitis was observed 10 days after the operation, and was successfully treated by mydriatic, antibiotic and steroid drops. BCVA 10 days after surgery was 0.1. At present the patient is still being followed-up. The BCVA at 1-year follow-up was 0.2, intraocular pressure was 18 mmHg, and we did not notice any subsequent growth of the cyst (Figure 2).

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