Needle aspiration with surgical excision of an epithelial posttraumatic iris cyst – a case report

Abstract

SummaryBackgroundThe 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 ReportA 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.ConclusionsThis case report provides evidence that needle aspiration with surgical excision of iris cyst seems to be an effective treatment method of this complication.

Implantation iris cysts developing 24 years after penetrating keratoplasty

“… 13 However, when threatening visual function, or inducing glaucoma, corneal decompensation or secondary uveitis, or when associated with cataract, several conservative therapeutic options can be considered. They include fine-needle aspiration alone, 14 that carries a high risk of recurrence, or intracystic injection of absolute alcohol. 15 Laser treatment has also been reported, relying on Nd:YAG laser for cystotomy 16 and argon laser for photocoagulation of the collapsed cyst wall.…”

Intraocular Biopsy and ImmunoMolecular Pathology for “Unmasking” Intraocular Inflammatory Diseases

“…Iris biopsy, usually combined with AC tap is required to analyze iris stromal or epithelial cysts, arising from posterior iris pigment epithelium or at the pupillary margin, associated with inflammation and/or obstructing the visual axis [43,53,54]. In such cases, histopathology is essential in the differential diagnosis between chronic granulomatous inflammations, juvenile xanthogranuloma, or malignant lesions [43,50].…”