A secondary iris cyst with 3 years of asymptomatic period following a blunt ocular trauma.

To present a relatively uncommon case with a secondary iris cyst in the anterior chamber and its successful management with an anterior chamber mass excision surgery. A 46-year-old Chinese woman presented with a dark shadow in her left eye for 6 months without any other discomfort. She had a history of blunt ocular trauma by a badminton strike 3 years ago. Slit-lamp examination showed a small, nearly circular, sharply demarcated, and movable mass in the anterior chamber OS, which could change its position with head tilt. The anterior segment optical coherence tomography revealed a well-circumscribed cystic lesion in the anterior chamber with higher reflective outer layer and lower internal reflectivity. An anterior chamber mass removal surgery was performed without recurrence up to 1 year. Secondary free-floating iris cyst following a blunt trauma is rarely reported. It is relatively stable and nonprogressive so it may remain asymptomatic for a long time. Appropriate imaging techniques are necessary for facilitating diagnosis and therapy. Therapeutic management should be considered if visual symptoms arise, especially when complications occur.

Citation

Hong-Yang Li, Mei-Jun Li, Zhi-Yi Xu, Jia-Hui Li, Wen-Lin Zheng, Yi Wu, Hong-Wei Pan. A secondary iris cyst with 3 years of asymptomatic period following a blunt ocular trauma. European journal of ophthalmology. 2021 May;31(3):NP1-NP4

Mesh Tags

PMID: 31984763

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