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Journal of Case Reports
Delayed Treatment of Secondary Iris Cyst due to Blunt Ocular Trauma
Tjahjono D Gondhowiarjo, Widya Artini
Department of Ophthalmology, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Corresponding Author:
Dr. Widya Artini
Email: ikkesumantri@gmail.com
Received: 25-SEP-2017 Accepted: 08-DEC-2017 Published Online: 20-JAN-2018
DOI: http://dx.doi.org/10.17659/01.2018.0005
Background: Epithelial iris cysts are derived due to genetic factors or caused by ocular trauma. Case Report: We report the case of a five-year-old boy with blurred vision after a rubber bullet toy hit his left eye. There was a wide iris cyst of more than 180º in extent, attached to the corneal endothelium on the nasal side, with a still clear cornea. His vision in affected eye reduced to hand movement with intraocular pressure of 40 mmHg. The whole cornea was edematous and the iris cyst had grown significantly in terms of size. We performed a successful iris cyst removal followed by Ahmed drainage implant that resulted in moderate visual improvement. Conclusion: Iris cyst can develop secondary to neglected ocular trauma.
Keywords : Corneal Endothelium, Cysts, Drainage, Eye Injuries, Intraocular Pressure, Iris Diseases.
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