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Photo Essay
Comprehensive Ophthalmology
1 (
1
); 37-38
doi:
10.25259/JORP_2_2023

The peeping tom behind the diaphragm of the eye!

Department of Pediatrics, Strabismus and Neuroophthalmology, L V Prasad Eye Institute, Vijayawada, Andhra Pradesh, India

*Corresponding author: Sunanda Nandi, Department of Pediatrics, Strabismus and Neuroophthalmology, L V Prasad Eye Institute, Vijayawada, Andhra Pradesh, India. sunanda.amc@gmail.com

Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Nandi S. The peeping tom behind the diaphragm of the eye! J Ophthalmic Res Pract 2023;1:37-8.

A 21-year-old male visited the eye center for a general checkup. The best corrected visual acuity in both eyes was 20/20. Undilated anterior segment finding was unremarkable in the right eye but there was a nodule-like elevation behind the iris of the left eye at the 8 o’clock position. After dilatation, an immobile cyst-like structure was seen behind the iris as shown in [Figure 1] which was around 2*1 mm in size, oval in shape, and not in the pupillary axis as shown in [Figures 2 and 3]. Additional testing helped to rule out infection, cysticercosis, and malignancy. The ocular history was unremarkable. B scan was unremarkable. A diagnosis of benign epithelial cyst was made and after offering surgery the patient elected for observation. The patient is advised to follow-up every 6 months to see for the progression of size and the need for surgery based on that.

Slit Lamp view of iris cyst.
Figure 1:
Slit Lamp view of iris cyst.
Retroillumination view of iris cyst.
Figure 2:
Retroillumination view of iris cyst.
Magnified view of iris cyst.
Figure 3:
Magnified view of iris cyst.

Iris cysts are relatively uncommon. It can be a reason for a diagnostic dilemma for an ophthalmologist. Iris cysts can be primary or secondary.[1] Primary iris cyst arises either from the pigment epithelium or from the stroma.[2] The location of iris cyst can be at the pupillary margin, mid-zonal, iris periphery, or freely floating.[3] Secondary cysts, on the other hand, can be post-surgical, post-traumatic, drug-induced, parasitic,[4] inflammatory, or due to intraocular tumors. Drugs likely to be associated with the formation of iris cysts are pilocarpine and latanoprost.[5] Intraocular tumors giving rise to iris cysts are medulloepithelioma, uveal melanoma, uveal nevus, and metastasis.[6] Epithelial iris cysts usually do not require surgical intervention, but stromal cysts often need surgery.[7]

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent.

Conflicts of interest

There are no conflicts of interest.

Financial support and sponsorship

Nil.

References

  1. . Primary cysts of the iris. Trans Am Ophthalmol Soc. 1981;79:771-809.
    [Google Scholar]
  2. , . Iris cysts In: Intraocular Tumors. An Atlas and Textbook (3rd ed). Philadelphia, PA: Wolters Kluwer; . p. :51-67.
    [Google Scholar]
  3. , . Cysts of the iris pigment epithelium. What is new and interesting? The 2016 Jose Rizal international medal lecture. Asia Pac J Ophthalmol (Phila). 2017;6:64-9.
    [CrossRef] [Google Scholar]
  4. , , , , , . Ocular cysticercosis (a study of 15 cases) Indian J Ophthalmol. 1980;28:69-72.
    [Google Scholar]
  5. , . Miotics: Side effects and ways to avoid them. Ophthalmology. 1982;89:76-80.
    [CrossRef] [PubMed] [Google Scholar]
  6. , , , , , . Progressive enlargement of cavity within melanoma masquerading as iris cyst. Cornea. 2006;25:863-5.
    [CrossRef] [PubMed] [Google Scholar]
  7. , , , , . Primary iris stromal cysts: A report of 17 cases. Ophthalmology. 1998;105:1317-22.
    [CrossRef] [PubMed] [Google Scholar]

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