We present a case of stromal cyst of the iris, which is a rare pathology whose treatment has a wide range of possibilities and results. This is a 5-year-old female patient, who is taken to an ophthalmological evaluation for presenting photophobia and a dark mass in the left eye growing for one year. Through diagnostic studies of the anterior segment, the diagnosis of primary iris cyst is confirmed, which, given its characteristics, meets surgical criteria and presents a favorable evolution after the procedure in subsequent appointments during the last 4 months.
The treatment used was mixed in order to offer the patient a lower risk of recurrence, as reported in the literature. We can conclude that iridian cysts despite their stable nature and that conservative management is still preferred by consensus, may represent a risk of complications that put visual function at risk, so close monitoring is important in these cases and makes timely decisions in your treatment to preserve it.
Jerry A Shields, MD PRIMARY CYSTS OF THE IRIS AM. OPHTH. SOC. vol. LXXIX, 1981 771-808.
Shields JA, Shields CL, Lois N, Mercado G. Iris cysts in children: classification, incidence, and management. The 1998 Torrence A Makley Jr Lecture. Br J Ophthalmol 1999; 83: 334-338.
Annie Stuart, Contributing Writer, interviewing Zélia M. Corrêa, MD, PhD, Prithvi Mruthyunjaya, MD Clinical Update Anterior Segment January 2018. p. 27-29 Eyenet Magazine.
Pavel Pochop, MD, PhD, Gabriela Mahelkov_a, MD, PhD, Ji_r_ý Cendel_ýn, MD, PhD, and Denisa Petru_skov_a, MD Early detection of recurrent primary iris stromal cyst using ultrasound biomicroscopy Journal of AAPOS Volume 18 Number 2 / April 2014 pag. 184-186.
Julia A. Haller, MD, Walter J. Stark, MD, Amr Azab, MD, Robert W. Thomsen, MD, and John D. Gottsch, MD. Surgical Management of Anterior Chamber Epithelial Cysts American Journal of Ophthalmology March 2003 309- 313.
Kiyotomi Kawaguchi, Shuji Yamamoto Treatment of recurrent giant iris cyst with intracyst administration of mitomycin C British Journal of Ophthalmology Feb 2000 p 800-80.
Jerry A. Shields, MD, and Carol L. Shields, MD. Cysts of the Iris Pigment Epithelium. What Is New and Interesting? The 2016 Jose Rizal International Medal Lecture Asia-Pac J Ophthalmol 2017;1:64–69.
Matthew R. Denny, Michael I. Seider Surgical Cystotomy of a Large Iris Pigment Epithelial Cyst with Microinstrumentation Ocul Oncol Pathol Jul 2018; 1-3.
Michael Casey, MA, MD, a Kenneth L. Cohen, MD, and David K. Wallace, MD Recurrence of Iris Stromal Cyst Following Aspiration and Resection Journal of AAPOS August 2002; vol 6 Number 4; 255-256.
Ilias Georgalas, Petros Petrou, Dimitrios Papaconstantinou, Iris cysts: A comprehensive review on diagnosis and treatment survey of ophthalmology 63 (2 0 1 8) 347-364.
