An uncommon case of primary iris cyst managed with Nd YAG laser

Baranwal, Vinod Kumar; Kumar, Santosh; Gaur, Shikhar; Satyabala, K.; Dutta, Ajay K.; Murthy, P.K.

doi:10.1016/j.mjafi.2013.04.001

Cited by 5 publications

(2 citation statements)

References 12 publications

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“…Congenital cysts arise endogenously and usually keep stable without clinical symptoms, while secondary epithelial iris cysts (EICs) might require surgical intervention and have a poor prognosis for high risks of recurrence and conversion to sheet-like ingrowth. Conservative therapies for EICs, including Nd:YAG laser cystostomy 1 – 3 , needle aspiration alone 4 or combined with photocoagulation 5 , 6 or endodiathermy 7 , and intracystic irrigation 8 – 10 , may lead to uveitis, secondary glaucoma, and recurrence 11 , 12 . Aggressive surgical excision and devitalization of the epithelial tissues with vitrectomy, lensectomy or even full-thickness corneoscleral grafting 13 , 14 can damage ocular structures and also increase the risk of recurrence 15 , 16 .…”

Section: Introductionmentioning

confidence: 99%

Long-term outcomes of “open iridectomy” for secondary anterior chamber epithelial iris cysts

Lan

Liu

Huang

et al. 2021

Sci Rep

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Epithelial cysts run a high risk of recurrence and conversion to sheet-like ingrowth after surgical intervention. In this retrospective study, we introduced a modified iridectomy for treatment of secondary epithelial iris cysts (EICs) in the anterior chamber. Twenty-nine patients (29 eyes) aged 2–61 years received “open iridectomy” for EICs between April 1995 and July 2019. After viscodissection, most of the cyst wall was cut using a 20-gauge aspiration cutter via a 2.5-mm clear corneal incision. The residue closely adhering to the iris stroma was remained to avoid photophobia and diplopia. At 3 months, best corrected visual acuity was ≥ 20/100 in 55.5% (15/27, except two pediatric patients with poor cooperation) of patients. Among the eight patients suffering partial corneal edema preoperatively, six patients received surgery treatment at 3–6.5 months, and the cornea in the other two patients became transparent after medication. In a mean follow-up of 47.4 months, recurrence occurred in 3 patients at 7, 37, and 118 months, respectively. The percentage of treatment success was 96%, 87%, and 65% at 1, 5, and 10 years, respectively. “Open iridectomy” was effective for EICs, with a minimal invasion, less damage to the corneal endothelium, and a low recurrence rate.

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Section: Introductionmentioning

confidence: 99%

Long-term outcomes of “open iridectomy” for secondary anterior chamber epithelial iris cysts

Lan

Liu

Huang

et al. 2021

Sci Rep

View full text Add to dashboard Cite

show abstract

“…Bei arzneimittelinduzierten Zysten reicht es oft schon, das Medikament abzusetzen oder Phenylephrin-Augentropfen im Falle von Phospholin-Iodid-induzierten Zysten zu tropfen[17].Sofern eine Intervention notwendig werden sollte, ist das Vorgehen unterschiedlich. Beschrieben wurde sowohl eine Behandlung mit Argon-als auch Neodym-dotiertem Yttrium-Aluminium-Granat-Laser (Nd : YAG-Laser), die eine Zelldestruktion oder Wandperforation bewirken soll[18,19]. Ebenso wurde die Feinnadelaspiration mit Injektion von Ethanol, Mitomycin C oder 5-Fluorouracil zur Devitalisierung der Zellen beschrieben[20,21].…”

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