Mahjoub Ahmed, Abdesslem Nadia Ben, Jouini Arij, Abderrazek Atf Ben, Ghorbel Mohamed, Mahjoub Hachemi
Ophthalmology Department, Farhat Hached Hospital, University of Sousse, Tunisia.
Ophthalmology Department, Farhat Hached Hospital, University of Sousse, Tunisia.
Int J Surg Case Rep. 2023 Apr;105:108037. doi: 10.1016/j.ijscr.2023.108037. Epub 2023 Mar 23.
Cysts of the iridociliary complex could be primary or secondary. Small and asymptomatic iris cysts can be monitored, whereas larger cysts require treatment as they can cause severe complications. Treatment modalities can range from minimally invasive techniques to aggressive surgical procedures.
We report the case of an 11-year-old child who applied to our department with blurred vision. The anterior segment examination of the right eye revealed an oval, light brown, semi translucid cyst, located in the iris extending to corneal endothelium. The iris cyst was managed surgically. A pigment magma on the anterior surface of the lens was observed and was respected in order not to induce a cataract. Surgical treatment consisted of total removal of the external cyst layer.
There are numerous different methods for treating iris cysts. The main goal of treatment is to be as little intrusive as possible. Cysts that are small, stable, and asymptomatic can be observed. To avoid major issues, larger cysts may need to be treated. When less intrusive treatments have failed, surgery is always the final option. In our case, the post-traumatic iris cyst was immediately treated surgically by aspiration followed by excision of its wall, because of the significant visual disturbance, the age of the patient, and the corneal endothelial touch.
Surgical intervention remains the last option, especially when less invasive options did not reveal to be successful due to the extensive nature of the lesion.
虹膜睫状体复合体囊肿可为原发性或继发性。小的无症状虹膜囊肿可进行监测，而较大的囊肿因可导致严重并发症则需要治疗。治疗方式可从微创技术到激进的手术操作。
我们报告一例11岁儿童因视力模糊前来我科就诊。右眼前段检查发现一个椭圆形、浅棕色、半透明囊肿，位于虹膜并延伸至角膜内皮。该虹膜囊肿接受了手术治疗。术中观察到晶状体前表面有色素沉着，为避免诱发白内障予以保留。手术治疗包括完全切除囊肿外层。
治疗虹膜囊肿有多种不同方法。治疗的主要目标是尽可能减少侵入性。小的、稳定且无症状的囊肿可进行观察。为避免出现重大问题，较大的囊肿可能需要治疗。当侵入性较小的治疗失败时，手术始终是最终选择。在我们的病例中，由于存在明显的视力障碍、患者年龄以及囊肿与角膜内皮接触，该创伤后虹膜囊肿立即通过抽吸术及囊肿壁切除术进行了手术治疗。
手术干预仍是最后手段，尤其是当因病变范围广泛导致侵入性较小的方法未取得成功时。
