AUTHORS
Julie M. Shabto, MD, MBA (a),Kenneth W. Price, MD(b), John C. Allen, MD (c), Caroline Craven, MD(a), Jeremy K. Jones, MD(a), and Jill Wells, MD(c)
Author affiliations: (a)Emory University School of Medicine, Atlanta, Georgia; (b)Oregon Health & Science University, Portland, Oregon; (c)Clayton Eye Center, Morrow, Georgia
Correspondence: Julie M. Shabto, MBA, 1365 Clifton Rd, Building B, Atlanta, GA 30322
(email: Julie.mara.shabto@emory.edu).
SUMMARY
A 63-year-old woman with a known secondary iris inclusion cyst in her right eye presented with headache, blurry vision, and eye pain of 3 days’ duration. Initial findings were notable for significant decrease invision and elevated intraocular pressure in the right eye, with diffuse micro cystic corneal edema, diffuse anterior chamber flare with minimal cellular reaction, and a significantly decompressed iris inclusion cyst.
INTRODUCTION
Implantation cysts are the most common subtype of secondary cysts.3 Implantation of non‐keratinized epithelial cells from the conjunctiva or cornea can occur after any intraocular surgery but is more commonly found after trauma. This proliferation can lead to epithelial down growth, a sheetlike proliferation along important ocular structures, or inclusion cyst formation with implantation on varying ocular structures, most commonly the iris. The cystic formation is generally slower growing and more benign compared to the more aggressive, sheetlike epithelial proliferation.4,5 We present a rare case of acute glaucoma due to spontaneous rupture of a previously stable secondary iris inclusion cyst and subsequent cyst recurrence.
CASE REPORT
A 63-year-old woman presented emergently at EmoryUniversity Hospital with right eye pain,
Duke Journal of Case Reports in Ophthalmology, Vol. 1
Published June 20, 2022. Copyright ©2022. All rights reserved. Reproduction in whole or in part in any form or medium without expressed written permission of the Duke Journal of Case Reports in Ophthalmology is prohibited.
doi:10.000/djo.02.2022.00.000