A Boy with a Growing Mass in the Anterior Chamber

Authors

  • Mariana Leuzinger-Dias Department of Ophthalmology, Centro Hospitalar e Universitário de São João, Porto, Portugal
  • Vítor Fernandes Department of Ophthalmology, Centro Hospitalar e Universitário de São João, Porto, Portugal
  • Paulo Freitas-da-Costa Department of Ophthalmology, Centro Hospitalar e Universitário de São João, Porto, Portugal; Anatomy Unit, Biomedicine Department, Faculty of Medicine of University of Porto, Porto, Portugal

DOI:

https://doi.org/10.48560/rspo.24652

Keywords:

Anterior Chamber, Cysts, Iris Diseases

Abstract

An 18-year-old boy presented to our emergency department with a 1-month history of a painful left eye, photophobia, and progressive blurring of vision. His past ocular history included a penetrating left globe injury, surgically repaired 1 year before. Biomicroscopy revealed a scar in the inferior cornea and a huge epithelial iris cyst, reaching the visual axis (Panel A). BCVA of the left eye was 20/320, and intraocular pressure was 20 mmHg. Further investigation, namely ultrasound biomicroscopy (Panel B), and anterior segment-OCT (not shown) supported this diagnosis. Nd: YAG laser cystotomy was performed to rupture the cyst wall and drain its fluid content. Immediate shrinkage of the cyst was seen, but additional follow-up is required to rule out the development of procedure-related complications and cyst recurrence.

With the evolution of surgical techniques, posttraumatic iris cysts have become rare entities. Nevertheless, its recognition and management are mandatory for any ophthalmologist.

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References

Konopińska J, Lisowski Ł, Mariak Z, Obuchowska I. Clinical features of iris cysts in long-term follow-up. J Clin Med. 2021;10:189doi:10.3390/jcm10020189

Georgalas I, Petrou P, Papaconstantinou D, Brouzas D, Koutsandrea C, Kanakis M. Iris cysts: A comprehensive review on diagnosis and treatment. Surv Ophthalmol. 2018;63:347-64. doi:10.1016/j.survophthal.2017.08.009

Venkateswaran N, Ching SS, Fischer W, Lee F, Yeaney G, Hindman HB. The Diagnostic and therapeutic challenges of posttraumatic iris implantation cysts: illustrative case presentations and a review of the literature. Case Rep Ophthalmol Med. 2015;2015:375947. doi:10.1155/2015/375947

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Published

2022-04-10

How to Cite

Leuzinger-Dias, M., Fernandes, V., & Freitas-da-Costa, P. (2022). A Boy with a Growing Mass in the Anterior Chamber. Revista Sociedade Portuguesa De Oftalmologia, 46(1), 58–59. https://doi.org/10.48560/rspo.24652

Issue

Vol. 46 No. 1 (2022)

Section

Shot Communications and Images in Ophthalmology

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Copyright (c) 2022 Revista Sociedade Portuguesa de Oftalmologia

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