Surgical Management of Post-Traumatic Iris Cyst



Swetha Sara Philip*, Deepa Rebecca John, Fini Ninan, Sheeja Susan John
Department of Ophthalmology, Christian Medical College, Vellore 632001, Tamil Nadu, India


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© Philip et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Ophthalmology, Schell Eye Hospital, Arni Road, Christian Medical College, Vellore – 632001, Tamil Nadu, India; Tel: +91-416-2281201; E-mail: anubaby@cmcvellore.ac.in


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.