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A 23-year-old man with a cystic iris lesion
Digital Journal of Ophthalmology 2008
Volume 14, Number 15
August 1, 2008
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Glenn W. Thompson | William Beaumont Hospital
Steven P. Dunn | Michigan Cornea Consultants
Treatment
The patient underwent surgical aspiration of the cyst contents and injection of medical grade ethyl alcohol. The patient tolerated the procedure well; the cyst walls remained intact throughout instillation and aspiration of alcohol and during the rinse with balanced salt solution. On post-op day #1, the cyst had completely collapsed (Figure 7) and was still collapsed at post-op week #2 (Figure 8) and post-op month #2. At post-op week #2, visual acuity had improved to 20/60, and IOP was 16 mm Hg. There was 2+ cell and flare in the anterior chamber OS. At post-op month #2 there was a slight decline in visual acuity to 20/70, with IOP of 16 mm Hg, trace cell and flare in the anterior chamber and the development of a posterior sub-capsular cataract. Given the resolution of the anterior chamber reaction, the continued reduction in vision was attributed to the development of the cataract, as the fundus and central cornea appeared normal.
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Figure 7
Cyst collapsed on Post-operative day 1.

Figure 8
Cyst collapsed on post-operative week 2.