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Case Reports
. 2016 Jan-Apr;9(1):63-5.
doi: 10.4103/0974-620X.176123.

Phaco-endocycloplasty: A novel technique for management of ring iridociliary cyst presenting as acute angle closure

Vanita Pathak-Ray  1 , Iqbal Ike K Ahmed  2
Affiliations
Case Reports

Phaco-endocycloplasty: A novel technique for management of ring iridociliary cyst presenting as acute angle closure

Vanita Pathak-Ray et al. Oman J Ophthalmol. 2016 Jan-Apr.

Abstract

Iridociliary cysts of pigment epithelium are rare, ring cysts being rarer still, and usually benign in their clinical course. Presented here is a case of ring iridociliary cyst that resulted in secondary synechial angle closure with an acutely elevated intraocular pressure, refractory to medical treatment. Primary endocycloplasty and cataract extraction with implant were used successfully to manage the case.

Keywords: Angle closure; endocycloplasty; phaco-endocycloplasty; ring iridociliary cyst.

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Figures

Figure 1
Figure 1
Ultrasound biomicroscopy of left eye showing ring iridociliary cyst (encircled)
Figure 2
Figure 2
Endoscopic appearance of ring iridociliary cyst in the left eye
Figure 3
Figure 3
Endocycloplasty before – laser beam (arrow) targeting tail of ciliary process. Endocycloplasty after – whitening and shrinking of ciliary process away from the cyst (arrow)
Figure 4
Figure 4
Remnant of ring cyst in the right eye at 3-months post surgery, in the presence of synechial angle closure
See this image and copyright information in PMC

References

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