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. 2021 Jun 28;14(2):124-125.
doi: 10.4103/ojo.ojo_17_21. eCollection 2021 May-Aug.

Bilateral multiple iridociliary cysts causing secondary pigment dispersion

Prerna Garg  1 , Suneeta Dubey  1 , Saptarshi Mukherjee  1 , Darshana Daga  1
Affiliations

Bilateral multiple iridociliary cysts causing secondary pigment dispersion

Prerna Garg et al. Oman J Ophthalmol. .

Abstract

Primary epithelial iris cysts are benign innocuous lesions, which are mostly bilateral and asymptomatic in nature. They can lead to creeping angle closure, when the angle progressively narrows due to age-associated changes. This photoessay, herewith, signifies the dual importance of identifying minute bumpy elevations in the iris by a thorough slit lamp examination as well as the use of ultrasound biomicroscopy in patients presenting with creeping angle closure, frequently misdiagnosed in the primary angle closure disease spectrum.

Keywords: Iris cysts; open angle; pigment dispersion; ultrasound biomicroscopy.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
The bumpy elevation in the nasal peripheral iris of the left eye
Figure 2
Figure 2
Gonioscopic image of the right eye depicting open angles with localized apposition in areas of bumpy elevation and areas of broken pigments. Yellow arrow - Bumpy elevation of iris and localized apposition. Red arrow . Area of broken pigmentation
Figure 3
Figure 3
Gonioscopic image of the left eye depicting open angles and localized apposition at site of bumpy elevation
Figure 4
Figure 4
Ultrasound biomicroscopy image showing the extensive multiple thin-walled, cystic lesions beneath the mid peripheral and peripheral iris causing the bumpy elevation of the iris
Figure 5
Figure 5
Anterior-segment optical coherence tomography image showing the irregular angle opening in different quadrants
See this image and copyright information in PMC

References

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