Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Nov 4:9:164-6.
doi: 10.2174/1874364101509010164. eCollection 2015.

Surgical Management of Post-Traumatic Iris Cyst

Swetha Sara Philip  1 , Deepa Rebecca John  1 , Fini Ninan  1 , Sheeja Susan John  1
Affiliations

Surgical Management of Post-Traumatic Iris Cyst

Swetha Sara Philip et al. Open Ophthalmol J. .

Abstract

Purpose: Epithelial cysts of the iris may be primary or secondary. The management of secondary, posttraumatic iris cysts is often challenging. The purpose of this work is to report the successful surgical management of a post-traumatic iris cyst.

Case report: A 38 year-old man presented with an iris cyst associated with epithelial downgrowth and total cataract, six years after sustaining a penetrating injury to his right eye. The iris cyst was excised in toto with the epithelial downgrowth, and the procedure was combined with cataract extraction and intra ocular lens implantation. The patient had good post-operative visual recovery with minimal inflammatory reaction.

Conclusion: Post-traumatic cysts of the iris can be associated with significant ocular morbidity. Many different modalities of treatment, with varying degrees of success, have been described for the treatment of iris cysts. Excision of the iris cyst in toto is a good surgical management option, which can result in an excellent functional outcome with minimal inflammatory complications.

Keywords: Cataract surgery; iris cyst; management; post-traumatic; surgery..

PubMed Disclaimer

Figures

Fig. (1)
Fig. (1)
Slit lamp photograph of the right eye showing the iris cyst (white arrow) and epithelial downgrowth (red arrow).
Fig. (2)
Fig. (2)
Ultrasound biomicroscopy showing the echolucent iris cyst (blue arrow).
Fig. (3)
Fig. (3)
Post-operative slit lamp photograph of the right eye showing a quiet eye with iridectomy and a posterior chamber intraocular lens implant.
See this image and copyright information in PMC

References

    1. Maumenee A.E., Shannon C.R. Epithelial invasion of the anterior chamber. Am. J. Ophthalmol. 1956;41(6):929–942. doi: 10.1016/0002-9394(56)91039-X. - DOI - PubMed
    1. Shields J.A., Shields C.L., Lois N., Mercado G. Iris cysts in children: classification, incidence, and management. The 1998 Torrence A Makley Jr Lecture. Br. J. Ophthalmol. 1999;83(3):334–338. doi: 10.1136/bjo.83.3.334. - DOI - PMC - PubMed
    1. Rizzuti A.B. Traumatic implantation cysts of the iris; with special emphasis on surgical aspects. Am. J. Ophthalmol. 1955;39(1):13–20. doi: 10.1016/0002-9394(55)92648-9. - DOI - PubMed
    1. Moreno-López M., Arruabarrena C., Regueras A., Noval S. [Conservative surgical management of a post-traumatic iris cyst]. Arch. Soc. Esp. Oftalmol. 2007;82(7):455–457. - PubMed
    1. Rishi P., Rishi E., Biswas J., Nandi K. Clinical and histopathological features of posttraumatic iris cyst. Indian J. Ophthalmol. 2008;56(6):518–521. doi: 10.4103/0301-4738.43383. - DOI - PMC - PubMed

LinkOut - more resources