Po-Ying Wu1, Meng-Hsien Wu2,3, Chi-Cheng Wu3, Chi-Chin Sun4,5. 1. Department of Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan. 2. Cheng-Ching Eye Institute, Kaohsiung, Taiwan. 3. Department of Business Management, National Sun Yat-sen University, Kaohsiung, Taiwan. 4. Department of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan. arvin.sun@msa.hinet.net. 5. Department of Ophthalmology, Chang Gung Memorial Hospital, 222 Mai Chin Road, An Leh District, Keelung, Taiwan. arvin.sun@msa.hinet.net.
Abstract
BACKGROUND: Secondary iris cysts are uncommon complication after cataract surgery. The reports of an iris cyst after conventional phacoemulsification surgery are scanty, let alone the iris cyst following femtosecond laser-assisted cataract surgery (FLACS). We herein report an unusual case of an iris cyst after an uneventful FLACS. CASE PRESENTATION: A 64-year-old man who was healthy underwent FLACS for a moderate cataract of his left eye. Shortly after surgery, he achieved 20/20 vision, but anterior bowing of temporal iris was noted on postoperative day 9 with a retro-pupillary iris cyst at temporal-inferior quadrant found after pupil dilatation. The cyst was confirmed by ultrasound bio-microscopy afterward. Four weeks later, argon laser cystotomy was performed, and the cyst disappeared 3 days later. The patient's vision remained stable thereafter. CONCLUSION: Although rare, secondary iris cyst may be one of the complications after FLACS. Argon laser cystotomy is effective in the management of post-FLACS iris cyst.
BACKGROUND: Secondary iris cysts are uncommon complication after cataract surgery. The reports of an iris cyst after conventional phacoemulsification surgery are scanty, let alone the iris cyst following femtosecond laser-assisted cataract surgery (FLACS). We herein report an unusual case of an iris cyst after an uneventful FLACS. CASE PRESENTATION: A 64-year-old man who was healthy underwent FLACS for a moderate cataract of his left eye. Shortly after surgery, he achieved 20/20 vision, but anterior bowing of temporal iris was noted on postoperative day 9 with a retro-pupillary iris cyst at temporal-inferior quadrant found after pupil dilatation. The cyst was confirmed by ultrasound bio-microscopy afterward. Four weeks later, argon laser cystotomy was performed, and the cyst disappeared 3 days later. The patient's vision remained stable thereafter. CONCLUSION: Although rare, secondary iris cyst may be one of the complications after FLACS. Argon laser cystotomy is effective in the management of post-FLACSiris cyst.
Entities:
Keywords:
Argon laser cystotomy; Case report; Femtosecond laser-assisted cataract surgery (FLACS); Iris cyst
Authors: Carolin M Kolb; Mehdi Shajari; Lisa Mathys; Eva Herrmann; Kerstin Petermann; Wolfgang J Mayer; Siegfried Priglinger; Thomas Kohnen Journal: J Cataract Refract Surg Date: 2020-08 Impact factor: 3.351