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Epithelial inclusion cyst of the iris
P T Finger1, S A McCormick, J Lombardo
1Department of Ophthalmology, New York (NY) Eye and Ear Infirmary, USA.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|June 1, 1995
Summary
Conjunctival inclusion cysts in the iris can mimic tumors after cataract surgery. Ultrasound biomicroscopy aids diagnosis, and early surgical excision may be preferred over corticosteroid treatment.
Area of Science:
- Ophthalmology
- Ophthalmic Pathology
Background:
- Conjunctival inclusion cysts can occur in the iris following ocular surgery.
- These cysts may present as iris masses, complicating post-operative management.
Observation:
- A patient developed a progressively enlarging iris mass 9 months after cataract surgery.
- Clinical examination revealed a white iris tumor with anterior chamber inflammation.
- Ultrasound biomicroscopy showed a layered, egg-shaped iris stromal tumor.
Findings:
- Histopathology confirmed a conjunctival inclusion cyst with inflammation.
- The cyst enlarged and induced inflammation (hypopyon) after topical corticosteroid initiation.
- Ultrasound biomicroscopy provided characteristic diagnostic features.
Implications:
- Ultrasound biomicroscopy is a valuable tool for diagnosing iris epithelial inclusion cysts.
- Surgical excision prior to corticosteroid therapy may be the preferred management approach.