title: Combined iridocyclectomy and lensectomy surgical technique modified for the removal of an iris cyst in a child.
abstract: The purpose of this report is to describe a modified surgical iridocyclectomy technique and lensectomy for the removal of a recurrent iris cyst and a cataract in a child. A 3-year-old boy underwent uncomplicated standard iridocyclectomy for the removal of an enlarging congenital epidermal iris cyst. In the postoperative period, the cyst recurred. A second surgical intervention was performed using a modified iridocyclectomy technique. Sclerocorneal dissection of the involved quadrant was performed. After a lensectomy, an additional deep lamellar dissection of the peripheral cornea was undertaken prior to iris cyst removal and pupil reconstruction. This modified two-layered iridocyclectomy technique permits an elegant access to the iris lesion and allows the construction of a two-layered watertight wound, reducing the risk of hypotony and wound ectasia. We believe it also allows a better control of astigmatism and is a safe procedure in the pediatric population, particularly during the amblyogenic period.
authors.affiliation: Department of Ophthalmology, Save Sight Institute, Sydney Eye Hospital, Australia.
authors.forename: Bijan
authors.initials: B
authors.lastname: Farpour
authors.forename: Alison
authors.initials: A
authors.lastname: Browne
authors.forename: BmedscKathyA
authors.initials: B
authors.lastname: McClellan
authors.forename: Frank A
authors.initials: FA
authors.lastname: Billson
mesh_terms: D002387:Cataract Extraction / Q000379:methods*; D002675:Child, Preschool; D004814:Epidermal Cyst / Q000601:surgery*; D006801:Humans; D007498:Iris / Q000601:surgery*; D007499:Iris Diseases / Q000601:surgery*; D008297:Male; D012008:Recurrence; D012086:Reoperation