Strategies for the Management of Congenital Iris Cysts

J Coll Physicians Surg Pak. 2016 Jun;26(6 Suppl):S71-3.

Abstract

Iris cysts can arise from iris pigment epithelium or stroma. We present 3 cases of iris cysts which have been managed in different ways. In a one-month neonate, cyst was punctured with keratome and gentle diode laser endophotocoagulation was applied to the base. A2.5-month infant presented with watering and blepharospasm since birth. Clear fluid was aspirated from the cyst with a 27-gauge needle and Ethanol 96% (ETOH) was injected into the cyst and then aspirated. It was followed by injection/aspiration of 0.3 ml of balanced salt solution thrice. Cyst wall was excised. A13-month toddler presented with 4-month history of intermittent irritation and photophobia. The cyst was aspirated with a 25-gauge needle and the cyst walls were nibbled with 20-gauge vitrectomy cutter. Excision is better than injection of sclerosing solutions. The aim is to remove the whole cyst to avoid recurrence and to prevent amblyopia.

Publication types

  • Case Reports

MeSH terms

  • Cysts / congenital*
  • Cysts / pathology
  • Cysts / surgery
  • Humans
  • Infant
  • Infant, Newborn
  • Iris Diseases / congenital*
  • Iris Diseases / pathology
  • Iris Diseases / surgery
  • Male
  • Sclerosing Solutions
  • Treatment Outcome

Substances

  • Sclerosing Solutions