Secondary Logo

Journal Logo

Ophthalmic Images

Anterior segment optical coherence tomography-guided management of traumatic iris cyst

Khader, Aftab Abdul; Bhalerao, Sushank Ashok1,; Banad, Nandini R2; Krishnamurthy, Ajay3

Author Information
Indian Journal of Ophthalmology: July 2020 - Volume 68 - Issue 7 - p 1455
doi: 10.4103/ijo.IJO_1860_19
  • Open

A 13-year-old boy presented to our hospital with a diminution of vision in the left eye for 2 months after having blunt trauma with a cricket ball. The patient was having best-corrected visual acuity (BCVA) 20/320 with normal intraocular pressure. Slit-lamp examination showed iris cyst containing serous fluid in supero-temporal quadrant extending to the pupillary area [Fig. 1a and b]. Anterior margin of iris cyst was well-depicted on anterior segment optical coherence tomography (AS-OCT).[123] Drainage of fluid was done from the most prominent part of the cyst with help of 30G needle attached to 1 cc syringe entered through side port made at 8 o clock position.[4] Postoperative BCVA was 20/20 and intraocular pressure was normal [Fig. 1c and d].

Figure 1:
(a): Preoperative slit-lamp photo. (b) Preoperative anterior segment optical coherence tomography (AS-OCT) image. (c) Postoperative slit-lamp photo. (d) Postoperative AS-OCT image

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.

1. Pilling RF, Khan A, Ball JL. The utility of anterior segment optical coherence tomography in monitoring intraocular epithelial cysts in children: A mini case series Br J Ophthalmol. 2010;94:1265
2. Kytasty C, Parvus BJ, Mahmood Z, Shields CL, Shields JA. Spontaneous deflation of an iris pigment epithelial cyst documented with AS-OCT Ophthalmic Surg Lasers Imaging. 2010;41 Online:e1–3
3. Pong JCF, Lai JSM. Imaging of primary cyst of the iris pigment epithelium using anterior segment OCT and ultrasonic biomicroscopy Clin Exp Optom. 2009;92:139e41
4. Finger PT, Latkany P, Kurli M, Iacob C. The finger iridectomy technique: small incision biopsy of anterior segment tumours Br J Ophthalmol. 2005;89:946e9
© 2020 Indian Journal of Ophthalmology | Published by Wolters Kluwer – Medknow