Journal of Cataract & Refractive Surgery
Volume 32, Issue 10 , Pages 1768-1770, October 2006

Iris-cyst–simulating luxated lens

From the Miles Center for Pediatric Ophthalmology, Storm Eye Institute, Department of Ophthalmology (Trivedi, Wilson, Wells), and the Department of Pathology and Laboratory Medicine (Fraig), Medical University of South Carolina, Charleston, South Carolina, USA

Accepted 5 May 2006.

A 2-month-old child was referred to our clinic for evaluation and management of a luxated lens. Under general anesthesia, an irregularly shaped iris was observed with the presence of a large iris cyst in the anterior chamber. Sector iridectomy with excision of the cyst was performed. Histopathologic examination confirmed the diagnosis of a stromal cyst of the iris. At the 3-year follow-up, there was no evidence of recurrence of the iris cyst or of a secondary cataract. This case report provides evidence that although a primary cyst of the iris stroma is uncommon, it should be considered in the differential diagnosis for an apparent lens luxation.

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 No author has a financial or proprietary interest in any product mentioned.Supported in part by NIH grant EY-014793, the Grady Lyman Fund of the MUSC Health Sciences Foundation, and an unrestricted grant to MUSC-SEI from Research to Prevent Blindness, Inc., New York, New York, USA.

PII: S0886-3350(06)00921-7

doi:10.1016/j.jcrs.2006.05.022

Journal of Cataract & Refractive Surgery
Volume 32, Issue 10 , Pages 1768-1770, October 2006