Dr.Muralidhar Ramappa
Purpose: To describe the clinical spectrum and clinicopathological correlation of patients with epithelial iris implantation cysts Methods: Clinical profiles, surgical details and treatment outcomes of 31 cases of iris implantation cysts from 1989-2015, were evaluated retrospectively. Histopathology records were reviewed.
Results: 5 years median age with average follow-up was 14.37 months after surgery. Iris cysts were due to trauma (17), unknown (13), prior surgery (1). All underwent cyst excision with additional surgical procedures done where necessary, followed up for 1 month to 6 years after surgery. Complications were corneal decompensation (4), secondary glaucoma (4), and severe uveitis (1). Histopathological confirmation was available in 23 cases.
Conclusion: Epithelial iris implantation cysts are associated with significant ocular morbidity. Complete excision of the cyst with sector iridectomy can result in an excellent functional outcome with minimal complications.
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