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

Autor: Mei-Jun Li, Hong-Yang Li, Hongwei Pan, Wen-Lin Zheng, Zhi-Yi Xu, Yi Wu, Jia-Hui Li
Rok vydání: 2020
Předmět:
Zdroj: European Journal of Ophthalmology. 31:NP1-NP4
ISSN: 1724-6016
1120-6721
DOI: 10.1177/1120672120901702
Popis: Purpose: 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. Case report: 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. Conclusion: 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.
Databáze: OpenAIRE