Saratov JOURNAL of Medical and Scientific Research

Results of combined treatment of iris cysts

Year: 2018, volume 14 Issue: №4 Pages: 891-894
Heading: Ophtalmology Article type: Original article
Authors: Yarovoy А.А., Bulgakova E.S., Yarovaya V.A., Chochaeva A.M., Korobov E.N.
Organization: The S. Fyodorov Eye Microsurgery Federal State Institution

Purpose. To present the own experience in iris cyst treatment. Materials and Methods. In this retrospective study 20 eyes with iris cysts were included. Lesions were managed with intracystic ethanol irrigation with and without subsequent surgical resection of the walls. Results. Complete iris cyst destruction was achieved in 16 cases. In 4 eyes cyst recurrence after ethanol irrigation was revealed and successfully treated by ethanol irrigation without subsequent surgical resection of the walls. No complications were seen within mean follow-up of 26 months. Conclusion. Intracystic ethanol irrigation is an effective treatment modality. Additional surgical resection of the cyst walls helps to improve treatment results with no signs of recurrences and complications.

1 Shields CL, Kancherla S, Patel J, et al. Clinical survey of 3680 iris tumors based on patient age at presentation. Ophthalmology 2012; 119: 407-14
2 Shields JA, Shields CL. Cysts of the iris pigment epithelium: What is new and interesting? The 2016 Jose Rizal International Medal Lecture. Asia Рас J Ophthalmol (Phila) 2017; 6: 64-9
3 Shields CL, Arepalli S, Lally EB, et al. Iris stromal cyst management with absolute alcoholinduced sclerosis in 16 patients. JAMA Ophthalmol 2014; 132: 703-8
4 Karlin JD. Herpes zoster ophthalmicus and iris cysts. Ann Ophthalmol 1990; 22 (11): 414-5
5 Verma L, Ray M, Sharma N, et al. Presumed epithelial inclusion cyst of the iris seven years after radial keratotomy. Cornea 2002; 21 (7): 709-11
6 Naumann GOH. Block excision of cystic and diff use epithelial ingrowth of the anterior chamber: report on 32 consecutive patients GOH Naumann. V Rummelt Arch Ophthalmol 1992; (110): 223-7
7 Sinha R, Chaniyara MH, Urkude J, et al. Surgical removal of giant iris stromal cyst: an intraoperative optical coherence tomography-guided approach. BMJ Case Rep 2017
8 Ferry AP, Naghdi MR. Cryosurgical removal of epithelial cyst of iris and anterior chamber. Arch Ophthalmol 1967; 77 (1): 86-7
9 Cleasby GW. Photocoagulation of iris-ciliar body epithelial cysts. Trans Am Acad Ophthalmol Otolaryngol 1971; 75: 638-42
10 Sihota R, Tiwari HK, Azad RV, et al. Photocoagulation of large iris cysts. Ann Ophthalmol 1988; 20 (12): 470-2. 11 Gupta A, Pandian DG, Babu KR, et al. Primary stromal iris cysts treated successfully with ab externo laser Nd:YAG photocoagulation. J Pediatr Ophthalmol Strabismus 2010; 47:1-4
12 Arestova NN, Katargina LA. Laser surgery of the anterior eye segment cyst in children. Russian Journal of Ophthalmology 2011; 4: 25-30
13 Haller JA, StarkWJ, AzabA, etal. Surgical management of anterior chamber epithelial cysts. Am J Ophthalmol 2003; 135: 309-13
14 Lockington D, Altaie R, Moore S, et al. Successful management of secondary iris cysts with viscoelastic-assisted endophotocoagulation. JAMA Ophthalmol 2014; 132 (3): 354-6
15 BehrouziZ, KhodadoustA. Epithelial iris cyst treatment with intracystic ethanol irrigation. Ophthalmology 2003; 110 (8): 1601-5
16 Capo H, Palmer E, Nicholson DH. Congenital cysts of the iris stroma. Am J Ophthalmol 1993; 116 (2): 228-32
17 Yu CS, Chiu SI, Tse RKK. Treatment of cystic epithelial downgrowth with intralesional administration of mitomycin О Cornea 2005; 24 (7): 884-6
18 Shaikh AA, Damji KF, Mintsioulis G, et al. Bilateral epithelial downgrowth managed in one eye with intraocular 5-fluorouracil. Arch Ophthalmol 2002; 120 (10): 1396-8.

No votes yet