To present a case with free iris cysts in the anterior chamber and its management with YAG laser.
Case Report
A 14-year-old boy presenting with the complaint of seeing a small ball-like moving mass in his left eye.
Results
Slit-lamp examination revealed a pair of free-floating iris cysts located inferiorly in the anterior chamber. After YAG laser application both the cysts collapsed.
Conclusions
This is the first report of a case with multiple free iris cysts in the anterior chamber. Considering the possibility of endothelial damage in the long term, it is worth noting the favorable response to YAG laser treatment.
KawaguchiK.YamamotoS.NagaeY.OkadaA.IwasakiN.TanoY.. Treatment of recurrent giant iris cyst with intracyst administration of mitomycin C.Br J Ophthalmol2000; 84: 800–1.
2.
ShieldsJ.A.. Primary iris cysts.Trans Am Ophthalmol Soc1981; 79: 771–809.
3.
Auw-HaedrichC.SchlunckG.WitschelH.. Primary iris stromal cyst with unusual symptoms in an adult.Klin Monatsbl Augenheilkd2000; 216: 420–3.
4.
ShieldsJ.A.ShieldsC.L.LoisN.MercadoG.. Iris cysts in children: Classification, incidence, and management. The 1998 Torrence A Makley Jr Lecture.Br J Ophthalmol1999; 83: 334–8.
5.
ShieldsJ.A.ShieldsC.L.DePotterP.WagnerR.S.CaputoA.R.. Free-floating cyst in the anterior chamber of the eye.J Pediatr Ophthalmol Strabismus1996; 33: 330–1.
6.
NaumannG.O.H.RummeltV.. Block excision of cystic and diffuse epithelial ingrowth of the anterior chamber.Arch Ophthalmol1992; 110: 223–7.
7.
VermaL.VenkateshP.SenS.LakshmaiahN.C.TewariH.K.. Surgical removal of a free floating cyst of the iris pigment epithelium causing disturbing visual symptoms.Ophthalmic Surg Lasers1999; 30: 223–5.
WinthropS.R.SmithR.E.. Spontaneous regression of an anterior chamber cyst. A case report.Ann Ophthalmol1981; 13: 431.
10.
KuperK.D.StubigerN.RohrbachJ.M.. Primary pigment epithelial cysts of the iris.Klin Monatsbl Augenheilkd1999; 214: 183–4.
11.
TsaiJ.C.ArrindellE.L.O'DayD.M.. Needle aspiration and endodiathermy treatment of epithelial inclusion cyst of the iris.Am J Ophthalmol2001; 131: 263–5.
12.
TsukamotoH.NakanoK.MishimaH.Six cases of iris cyst.Folia Ophthalmol Jap1990; 41: 1195–201.
13.
KuchenbeckerJ.MotschmannM.SchmitzK.BehrensBaumannW.. Laser iridocystotomy for bilateral acute angle-closure glaucoma secondary to iris cysts.Am J Ophthalmol2000; 129: 391–3.