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Iris Stromal Cyst in a 6-Month-Old With Rapid Progression to Angle Closure
Matthew C Santos1, Andrew R Lee
1John Hardesty Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO.
Journal of Glaucoma
|August 10, 2020
Summary
Congenital iris stromal cysts can rapidly enlarge in infants, potentially causing amblyopia and secondary glaucoma. Early detection and monitoring are crucial for timely intervention in pediatric eye care.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Ophthalmic Pathology
Background:
- Congenital iris stromal cysts are rare ocular conditions.
- These cysts can pose risks to visual development in infants.
Observation:
- A 6-month-old infant presented with a rapidly enlarging iris stromal cyst.
- The cyst initially occupied two-thirds of the anterior chamber, obscuring the pupil.
- Within two days, the cyst enlarged significantly, causing shallow anterior chamber and elevated intraocular pressure, leading to angle closure.
Findings:
- Histopathology confirmed the diagnosis of an iris stromal cyst.
- The rapid progression highlighted the potential for acute complications.
- The case underscores the risk of amblyopia and secondary glaucoma from iris stromal cysts.
Implications:
- Serial examinations are vital for monitoring iris stromal cyst progression in children.
- Prompt surgical intervention may be necessary to prevent vision loss and glaucoma.
- This case emphasizes the importance of recognizing and managing rare pediatric ophthalmic conditions.
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