Du Kelvin H, Bu Jennifer J, Lee Bryanna J, Hird Kari, Goodwill Vanessa, Scott Nathan L
Viterbi Family Department of Ophthalmology at the Shiley Eye Institute, University of California San Diego, San Diego, CA, USA.
Department of Pathology, University of California San Diego, San Diego, CA, USA.
Am J Ophthalmol Case Rep. 2025 Feb 15;38:102278. doi: 10.1016/j.ajoc.2025.102278. eCollection 2025 Jun.
To report an interesting case of a massive iris cyst encompassing nearly the entire anterior chamber in an adult female years after cataract surgery.
A 77-year-old female with a history of bilateral cataract surgery presented with a large ciliary body mass in the left eye. The lesion was first incidentally noted one year prior to presentation and continued to grow and ultimately caused complete obstruction of the visual axis. Per report, the patient received two YAG laser treatments with subsequent recrudescence. Exam on second opinion consultation with our service was significant for a cystic mass involving nearly the entire left anterior chamber with total occlusion of the pupil. Patient underwent surgical excision with ethanol irrigation and partial iridectomy. The pathology report revealed benign stratified non-keratinizing squamous epithelium consistent with benign epithelial cyst and favoring iris stromal cyst. Post-operative course was complicated by corneal edema and elevated intraocular pressure.
We describe a case of iris implantation cyst that is unique in several aspects, including the size of the mass encompassing nearly the entire anterior chamber, its presentation in an adult years after cataract surgery, rapid growth across one year, and the severe degree of visual compromise.
报告一例有趣的病例，一名成年女性在白内障手术后数年出现一个巨大的虹膜囊肿，几乎占据了整个前房。
一名有双侧白内障手术史的77岁女性，左眼出现一个大的睫状体肿物。该病变在就诊前一年首次偶然发现，并持续生长，最终导致视轴完全阻塞。据报告，患者接受了两次YAG激光治疗，但随后复发。经我们科室二次会诊检查发现，一个囊性肿物几乎累及整个左前房，瞳孔完全闭塞。患者接受了手术切除，术中进行乙醇冲洗和部分虹膜切除术。病理报告显示为良性分层非角化鳞状上皮，符合良性上皮囊肿，倾向于虹膜基质囊肿。术后过程出现角膜水肿和眼压升高的并发症。
我们描述了一例虹膜植入性囊肿病例，该病例在几个方面具有独特性，包括肿物大小几乎占据整个前房、在白内障手术后成年期出现、一年内快速生长以及严重的视力损害程度。
