Long-term follow-up and visual outcome after excision of a traumatic iris cyst by viscoelastic dissection

Al-Ghadeer, Huda; Al-Towerki, Abdul Elah; Al‐Rajhi, Ali A.; Al-Awad, Abdulaziz

doi:10.1007/s10792-011-9498-9

Cited by 7 publications

(6 citation statements)

References 5 publications

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“…The technique of adjuvant use of ophthalmic viscoelastic agent, external surgical drainage of cyst followed by endophotocoagulation was also been reported by Lockington et al [9]. Al-Ghadeer et al also reported the technique and the outcome of viscoelastic dissection of a traumatic iris cyst [10]. In our case, we recommend viscodissection technique as it enables safe separation from surrounding structure.…”

Section: Discussionsupporting

confidence: 69%

A giant traumatic iris cyst

Wah¹,

Hooi²,

Ngein³

et al. 2015

J Coast Life Med

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Section: Discussionsupporting

confidence: 69%

A giant traumatic iris cyst

Wah¹,

Hooi²,

Ngein³

et al. 2015

J Coast Life Med

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“…Laser iridotomy of the cyst offers a noninvasive method of therapy for posttraumatic iris inclusion cysts but is associated with a high rate of recurrence 19. Viscoelastic dissection of the posttraumatic iris cyst has been described with an acceptable long-term outcome 20. Viscoelastic-assisted endophotocoagulation has been documented to have an excellent response in the management of secondary iris cysts 21.…”

Section: Discussionmentioning

confidence: 99%

Intraocular eyelashes and iris cyst in anterior chamber following penetrating eye injury: a case report

Sahu¹,

Puri²,

Singh³

2017

IMCRJ

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BackgroundThe presence of intraocular eyelashes following penetrating eye injury or ocular surgery is relatively uncommon. The response of the eye to intraocular eyelashes is variable. The eyelash may be symptomatic or may remain asymptomatic for long periods.ObjectiveWe report a case with two intraocular eyelashes and an iris cyst after 2 years of asymptomatic period following penetrating eye injury.Case presentationA 24-year-old male presented with decreased vision in the left eye which he had noticed for the previous 2 weeks. His visual acuity was 6/6 in the right eye and 6/18 in the left eye, improving to 6/9 with -2.5 DC × 140° correction. The intraocular pressure was 12 mmHg in both eyes. On slit-lamp examination, the left eye showed 8 mm linear peripheral corneal opacity nasally, two eyelashes in the superior anterior chamber, and an iris cyst measuring 4 mm × 4 mm in the superior iris. The right eye was normal. Dilated fundus examination of both eyes was normal. The eyelashes and cyst were removed surgically. There were no complications during the 3-month follow-up period.ConclusionIntraocular implantation of eyelashes following penetrating eye injury can remain asymptomatic for long periods; however, late development of iris cyst may occur.

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“…Cyst puncture and debulking coupled with aspiration of cyst contents can be attempted with careful attention as to not allow expulsion of contents into the anterior chamber. Viscoelastic dissection of the cyst, cauterization, diathermy, electrolysis, and cryotherapy can also be implemented [ 1 , 29 , 30 , 33 – 35 ]. Intracystic injections of sclerosing agents or cytotoxic agents such as phenol, saline, iodine, 50% dextrose, ethanol, or mitomycin-C (MMC) can be used to halt cyst growth [ 1 , 36 – 39 ].…”

Section: Review Of the Literature And Discussionmentioning

confidence: 99%

The Diagnostic and Therapeutic Challenges of Posttraumatic Iris Implantation Cysts: Illustrative Case Presentations and a Review of the Literature

Venkateswaran

Ching

Fischer

et al. 2015

Case Reports in Ophthalmological Medicine

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Posttraumatic iris implantation cysts are rare ocular findings that are often associated with poor visual outcomes. Iris implantation cysts can present clinicians with diagnostic and therapeutic challenges given their variable presentations and frequently destructive nature. In this paper, we provide descriptions of two unusual cases of posttraumatic iris implantation cysts. The first case is of a recurrent keratin-filled iris implantation cyst that developed after open globe injury and intraocular implantation of cilia and was treated with cyst debulking procedures, injections of 5-Fluorouracil, and iridocyclectomy. The second case is of recurrent posttraumatic serous iris implantation cysts that were treated with laser, cyst aspiration, and injections of 5-Fluorouracil. We use these cases as a platform to discuss the different manifestations of implantation cysts, the roles of anterior segment optical coherence tomography, ultrasound biomicroscopy, and histopathology in facilitating timely and accurate diagnosis and review the range of available therapeutic modalities. We discuss conservative treatment approaches, including the novel use of 5-Fluorouracil therapy as an adjunct therapy, as well as more aggressive surgical excision requiring ocular reconstruction. Through a discussion of these cases and review of the literature, we provide recommendations to assist clinicians in managing this uncommon but vision-threatening condition and minimizing complications.

show abstract

Long-term follow-up and visual outcome after excision of a traumatic iris cyst by viscoelastic dissection

Cited by 7 publications

References 5 publications

A giant traumatic iris cyst

A giant traumatic iris cyst

Intraocular eyelashes and iris cyst in anterior chamber following penetrating eye injury: a case report

The Diagnostic and Therapeutic Challenges of Posttraumatic Iris Implantation Cysts: Illustrative Case Presentations and a Review of the Literature

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