Publicação
A Boy with a Growing Mass in the Anterior Chamber
| Resumo: | 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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| Autores principais: | Leuzinger-Dias, Mariana |
| Outros Autores: | Fernandes, Vítor; Freitas-da-Costa, Paulo |
| Assunto: | Comunicações Curtas e Imagens em Oftalmologia |
| Ano: | 2022 |
| País: | Portugal |
| Tipo de documento: | relatório |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Sociedade Portuguesa de Oftalmologia |
| Idioma: | inglês |
| Origem: | Revista Sociedade Portuguesa de Oftalmologia |
| Resumo: | 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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