Strategies for the management of congenital iris cysts

Shabana Chaudhry, Khawaja Khalid Shoaib*, Stephen Hing, James Smith

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Iris cysts can arise from iris pigment epithelium or stroma. We present 3 cases of iris cysts which have been managed in different ways. In a one-month neonate, cyst was punctured with keratome and gentle diode laser endophotocoagulation was applied to the base. A 2.5-month infant presented with watering and blepharospasm since birth. Clear fluid was aspirated from the cyst with a 27-gauge needle and Ethanol 96% (ETOH) was injected into the cyst and then aspirated. It was followed by injection/aspiration of 0.3 ml of balanced salt solution thrice. Cyst wall was excised. A 13-month toddler presented with 4-month history of intermittent irritation and photophobia. The cyst was aspirated with a 25-gauge needle and the cyst walls were nibbled with 20-gauge vitrectomy cutter. Excision is better than injection of sclerosing solutions. The aim is to remove the whole cyst to avoid recurrence and to prevent amblyopia.

Original languageEnglish
Pages (from-to)S71-S73
Number of pages3
JournalJournal of the College of Physicians and Surgeons Pakistan
Issue number6
Publication statusPublished - 1 Jun 2016
Externally publishedYes


  • Amblyopia
  • Excision/management of iris cyst
  • Iris cysts


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