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ISSN 1561-3070 (Electronic)

2022, Number 3

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Rev Cub Oftal 2022; 35 (3)

Secondary iris cysts

Ramos BL, Ambou FI, Hernández VY, Gutierrez CM, Hormigo PI

Language: Spanish
References: 30
Page: 1-7
PDF size: 603.89 Kb.


ABSTRACT

Iris epithelial or anterior chamber cysts are a rare and serious complication following surgery or penetrating trauma to the anterior segment of the eye. They are secondary to epithelial invasion of the anterior chamber. An incidence of 0.09-0.12% has been described, although histopathological studies in enucleated eyes after cataract surgery indicate an incidence of 16%. They frequently evolve towards a progressive increase in size and the production of visual complications such as glaucoma (open angle due to the release of mucous content of the cyst, or closed), uveitis, corneal decompensation and retrocorneal membranes. We present the case of a 61-year-old male patient, who came to the clinic after a two-month surgery, in which he underwent a combined cataract and glaucoma surgery.


REFERENCES

  1. Naumann GO, Rummelt V. Block excision of cystic and diffuse epithelial ingrowth of the anterior chamber. Report on 32 consecutive patients. Arch Ophthalmol. 1992;110(2):223-7. DOI: 10.1001/archopht.1992.01080140079031.

  2. Weiner MJ, Trentacoste J, Pon DM, Albert DM. Epithelial downgrowth: a 30-year clinicopathologic review. Br J Ophthalmol. 1989;73(1):6-11. DOI: 10.1136/bjo.73.1.6.

  3. Kuchle M, Green WR. Epithelial ingrowth: a study of 207 histopathologically proven cases. Ger J Ophthalmol. 1996 [acceso 20/11/2021];5(4):211-23. Disponible en: https://pubmed.ncbi.nlm.nih.gov/8854105/3.

  4. Lois N, Shields CL, Shields JA, Mercado G. Primary cysts of the iris pigment epithelium. Clinical features and natural course in 234 patients. Ophthalmology. 1998;105(10):1879-85. DOI:10.1016/S0161-6420(98)91034-X.

  5. Vargas-Rodriguez LE, Zagorin-Langenauer B. Quistes de iris. Rev Mex Oftalmol. 2001 [acceso 20/11/2021];75:237-40 Disponible en: https://mdc.ulpgc.es/utils/getfile/collection/scoft/id/460/filename/432.pdf5.

  6. Yanoff M, Zimmerman LE. Pseudomelanoma of anterior chamber caused by implantation of iris pigment epithelium. Arch Ophthalmol. 1965;74:302-5. DOI: 10.1001/archopht.1965.00970040304003.

  7. Jacobiek FA, Silbert G. Are most iris melanomas really nevi? A clinicopathological study of 189 lesions. Arch Ophthalmol. 1981;99(12):2117-32. DOI: 10.1001/archopht.1981.03930020993002

  8. Shields JA. Primary cysts of the iris. Trans Am Ophthalmol Soc. 1981 [acceso 20/11/2021];79:771-809. Disponible en: https://pubmed.ncbi.nlm.nih.gov/7342411/8.

  9. Naumann GO, Rummelt V. Congenital nonpigmented epithelial iris cyst removed by block-excision. Grafes Arch Clin Exp Ephthalmol. 1990;228(5):392-7. DOI: 10.1007/BF00927248.

  10. Rummelt V, Naumann GO. Block excision mit tektonischer korneodkleralplastik weben zystischer und/oder diffuser epithelinvasion des vorderen augenabschnitts. Klin Monatsbl Augenheilkd. 1997;211(5):312-23. DOI: 10.1055/s-2008-1035141.

  11. Farmer SG, Kalina RE. Epithelial implantation cyst of the iris. Ophthalmology. 1981;88(12):1286-9. DOI: 10.1016/s0161-6420(81)34864-7.

  12. Sihota R, Tiwari HK, Azad RV, Khosla PK. Photocoagulation of large iris cyst. Ann Ophthalmol. 1988 [acceso 20/11/2021];20(12):470-2. Disponible en: https://pubmed.ncbi.nlm.nih.gov/3218817/12.

  13. Sugar J, Jampol LM, Goldberg MF. Argon laser destruction of anterior chamber implantation cyst. Ophthalmology. 1984;91(9):1040-4. DOI: 10.1016/s0161-6420(84)34184-7.

  14. Balacco-Gabrieli C, Avolio G, Lorusso VV, Castellano L. Nd-YAG laser in our experience. Ophthalmologica. 1985;190(2):112-7. DOI: 10.1159/000309503.

  15. Schrems W, Tomlinson CP, Belcher CD 3rd. Visual field improvement after neodymium: YAG laser puncture of miotic cysts. Ophthalmic Surg. 1987 [acceso 20/11/2021];18(5):342-2. Disponible en: https://pubmed.ncbi.nlm.nih.gov/3601339/15.

  16. Naumann GO, Rummelt V. Block excision of cystic and diffuse epithelial ingrowth of the anterior chamber. Report on 32 consecutive patients. Arch Ophthalmol. 1992;110(2):223-7. DOI: 10.1001/archopht.1992.01080140079031.

  17. Weiner MJ, Trentacoste J, Pon DM, Albert DM. Epithelial downgrowth: a 30-year clinicopathologic review. Br J Ophthalmol. 1989;73(1):6-11. DOI: 10.1136/bjo.73.1.6.

  18. Kuchle M, Green WR. Epithelial ingrowth: a study of 207 histopathologically proven cases. Ger J Ophthalmol. 1996 [acceso 20/11/2021];5(4):211-23. Disponible en: https://pubmed.ncbi.nlm.nih.gov/8854105/3.

  19. Lois N, Shields CL, Shields JA, Mercado G. Primary cysts of the iris pigment epithelium. Clinical features and natural course in 234 patients. Ophthalmology. 1998;105(10):1879-85. DOI:10.1016/S0161-6420(98)91034-X.

  20. Vargas-Rodriguez LE, Zagorin-Langenauer B. Quistes de iris. Rev Mex Oftalmol. 2001 [acceso 20/11/2021];75:237-40 Disponible en: https://mdc.ulpgc.es/utils/getfile/collection/scoft/id/460/filename/432.pdf5.

  21. Yanoff M, Zimmerman LE. Pseudomelanoma of anterior chamber caused by implantation of iris pigment epithelium. Arch Ophthalmol. 1965;74:302-5. DOI: 10.1001/archopht.1965.00970040304003.

  22. Jacobiek FA, Silbert G. Are most iris melanomas really nevi? A clinicopathological study of 189 lesions. Arch Ophthalmol. 1981;99(12):2117-32. DOI: 10.1001/archopht.1981.03930020993002

  23. Shields JA. Primary cysts of the iris. Trans Am Ophthalmol Soc. 1981 [acceso 20/11/2021];79:771-809. Disponible en: https://pubmed.ncbi.nlm.nih.gov/7342411/8.

  24. Naumann GO, Rummelt V. Congenital nonpigmented epithelial iris cyst removed by block-excision. Grafes Arch Clin Exp Ephthalmol. 1990;228(5):392-7. DOI: 10.1007/BF00927248.

  25. Rummelt V, Naumann GO. Block excision mit tektonischer korneodkleralplastik weben zystischer und/oder diffuser epithelinvasion des vorderen augenabschnitts. Klin Monatsbl Augenheilkd. 1997;211(5):312-23. DOI: 10.1055/s-2008-1035141.

  26. Farmer SG, Kalina RE. Epithelial implantation cyst of the iris. Ophthalmology. 1981;88(12):1286-9. DOI: 10.1016/s0161-6420(81)34864-7.

  27. Sihota R, Tiwari HK, Azad RV, Khosla PK. Photocoagulation of large iris cyst. Ann Ophthalmol. 1988 [acceso 20/11/2021];20(12):470-2. Disponible en: https://pubmed.ncbi.nlm.nih.gov/3218817/12.

  28. Sugar J, Jampol LM, Goldberg MF. Argon laser destruction of anterior chamber implantation cyst. Ophthalmology. 1984;91(9):1040-4. DOI: 10.1016/s0161-6420(84)34184-7.

  29. Balacco-Gabrieli C, Avolio G, Lorusso VV, Castellano L. Nd-YAG laser in our experience. Ophthalmologica. 1985;190(2):112-7. DOI: 10.1159/000309503.

  30. Schrems W, Tomlinson CP, Belcher CD 3rd. Visual field improvement after neodymium: YAG laser puncture of miotic cysts. Ophthalmic Surg. 1987 [acceso 20/11/2021];18(5):342-2. Disponible en: https://pubmed.ncbi.nlm.nih.gov/3601339/15.




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