Dr.Swapna Shanbhag
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: Median age at presentation was 5 years. 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. Mean preoperative and final log MAR visual acuity was 1.3 and 1.15 respectively. Complications were corneal decompensation (4), secondary glaucoma (4), and severe uveitis (1).
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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