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Updated: Aug 28, 2025

Iris Fixation via External Pentagram Suturing

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Multiple iridociliary cysts: One entity with various clinical presentations.

S A Kandarakis¹, L Doumazos¹, P Petrou¹

¹1th Opthhalmology Department, "G.Gennimatas" Hospital, National and Kapodistrian University of Athens, Athens, Greece.

American Journal of Ophthalmology Case Reports

|September 16, 2022

Summary

This summary is machine-generated.

Multiple bilateral iridociliary cysts present varied clinical scenarios, from asymptomatic cases to severe glaucoma. Individualized management is crucial for these rare but potentially sight-threatening conditions.

Keywords:

Angle closure glaucoma CDR asymmetry Iridociliary cysts Pseudoplateau iris Secondary glaucoma

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Area of Science:

Ophthalmology
Medical Imaging
Glaucoma Research

Background:

Iris and ciliary body cysts are rare ocular anomalies.
These cysts can manifest with a spectrum of clinical presentations.
Early diagnosis and management are essential for preserving vision.

Observation:

Three patients with multiple bilateral iridociliary cysts were evaluated.
Presentations ranged from asymptomatic with normal intraocular pressure (IOP) to advanced glaucoma.
Ultrasound biomicroscopy confirmed the diagnosis in all cases.

Findings:

Patient 1: Asymptomatic, normal IOP; managed with observation.
Patient 2: Nocturnal IOP spikes, cup-disk asymmetry; treated with prostaglandin analogue.
Patient 3: Chronic angle closure glaucoma, uncontrolled IOP; managed with trabeculectomy with Mitomycin-C.

Implications:

Iris cysts require careful examination, especially in patients with narrow angles.
Ultrasound biomicroscopy is vital for diagnosis and excluding malignancy.
Management must be tailored to the individual patient's clinical presentation and glaucoma stage.