scholarly journals Surgical removal of a free-floating iris cyst in anterior chamber in a Han Chinese man

2014 ◽  
Vol 93 (6) ◽  
pp. e514-e515
Author(s):  
Xu-yuan Tang ◽  
Wei Han ◽  
Hong-guang Cui ◽  
Rong-rong Hu ◽  
Jian-yong Wang ◽  
...  
2006 ◽  
Vol 134 (3-4) ◽  
pp. 151-154
Author(s):  
Milos Jovanovic ◽  
Zoran Latkovic

The objective of this case report was to present the development of implantation cyst following the perforating corneal injury, the problems related to the treatment, including total surgical excision of the cyst, the secondary cataract extraction, iridoplasty and the artificial intraocular lens reposition. A patient first presented with perforating corneal injury inflicted by a piece of wood, with the iris prolapse. Primary wound management, reposition of prolapsed iris and corneal sutures were performed four days after the injury. Eight months later, the patient was rehospitalized due to an implantation iris cyst and traumatic cataract. The cyst was excised, the extracapsular cataract extraction was done and the anterior chamber lens was implanted. Postoperative visual acuity was normal. Three years later, the patient presented for a follow-up examination, with the cyst filled up again, occupying two thirds of the anterior chamber. This time, the cyst was completely excised, all fibrous remnants of the secondary cataract were removed, and the iridoplasty was necessary due to large iris coloboma. Reposition of the anterior chamber lens was carried out. Histological examination revealed an implantation iris cyst covered by multilayered squamous epithelium. Normal visual acuity was achieved. The patient has been followed-up for six months uneventfully. Management of perforating corneal wound with iris prolapse may lead to development of an implantation iris cyst. Puncture of the cyst as well as incomplete excision will not solve the problem. Complete surgical removal of the iris cyst is the treatment of choice.


2015 ◽  
Vol 6 (2) ◽  
pp. 176-179 ◽  
Author(s):  
Joanne M.Y. Teong ◽  
Paul A. Adler ◽  
Dujon R.W. Fuzzard

Purpose: We describe an unusual clinical finding of a free-floating iris cyst in a patient with recurrent iritis. Method: The clinical finding of a free-floating iris cyst was recorded using slit-lamp photography. Results: A 39-year-old male with a 5-year history of recurrent right iritis was found to have a small mobile iris cyst within his right anterior chamber, first identified 3 years ago. The patient did not experience any discomfort or visual symptoms resulting from the cyst. Conclusion: Surgical removal is not indicated for asymptomatic non-progressive free-floating iris cysts. The significance of a free-floating iris cyst in the setting of recurrent iritis remains unknown.


2017 ◽  
Vol 54 (1) ◽  
pp. 64-64 ◽  
Author(s):  
Kara M. Cavuoto ◽  
Victor Villegas
Keyword(s):  

2008 ◽  
Vol 49 (11) ◽  
pp. 1862 ◽  
Author(s):  
Jung Hwan Shin ◽  
Hye Young Park ◽  
Sung Jin Cho
Keyword(s):  

1953 ◽  
Vol 20 (4) ◽  
pp. 437-440 ◽  
Author(s):  
R. L. ALEXANDER ◽  
R. J. KENNEDY

1991 ◽  
Vol 19 (1) ◽  
pp. 79-80 ◽  
Author(s):  
Rafat Ghabrial ◽  
Ian C. Francis ◽  
Kathleen A. McClellan
Keyword(s):  

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Tryfon Rotsos ◽  
Georgios Bagikos ◽  
Spyridon Christou ◽  
Chrysanthos Symeonidis ◽  
Thekla Papadaki ◽  
...  

An unusual case of a free-floating peripheral pigmented cyst in the anterior chamber is presented. A 30-year-old Caucasian male presented reporting a visual defect on his right eye in prone position over the past year. Slit-lamp examination revealed a small pigmented free-floating peripheral iris cyst at the 6 o’clock position in the anterior chamber. Ultrasound biomicroscopy revealed an unfixed epithelial pigmented cyst with an extremely thin wall and no internal reflectivity. Due to the lack of severity of visual disturbance of the patient, no surgical treatment was indicated. The patient is to be followed up annually and advised to return immediately in case of pain or any visual symptoms. Free-floating iris cysts in the anterior chamber are uncommon and remain stable in the majority of cases. Management includes only regular observation until any complications arise.


Author(s):  
A.V. Egorova ◽  
◽  
A.V. Vasiliev ◽  

Clinical case of successful treatment ocular hypertension caused by organic closure of anterior chamber angle after penetrating keratoplasty is presented. The patient underwent keratoplasty in the right eye and on the first day after the operation the clinic of acute glaucoma attack in the operated eye was revealed. In view lack of effect from medication and laser treatment carried out, the synechiae surgical removal was done. Carbachol Intraocular Solution (0.1 ml MIO-CHOL Sterile Solution, APPASAMY OCULAR DEVICES (P) LTD. (PHARMA DIVISION), India) was injected into anterior chamber to narrow the pupil. But its action turned out to be paradoxical – instead of constriction there was sharp pupil dilation. In addition to standard treatment, the patient received keratoprotection and reparative therapy. To restore neurotrophic processes in the iris, intravenous infusions of 1000 mg of gliatilin were first performed, followed by a switch to the tablet form of this drug. After 4 months, the patient experienced increase in uncorrected visual acuity to 0.1; best corrected visual acuity – up to 0.2 with diaphragm against the background of complete absence of signs of inflammation. The graft was completely transparent, the intraocular pressure – 19 mm Hg, mydriasis persisted 5–6 mm, the reaction of the pupil to light appeared, but was weakened. Key words: ocular hypertension after penetrating keratoplasty, acute glaucoma attack, synechiae surgical removal.


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