title: Anterior Chamber Epithelial Cyst After Uneventful Deep Anterior Lamellar Keratoplasty.
abstract: OBJECTIVE
  To report the case of an anterior chamber epithelial cyst after uncomplicated deep anterior lamellar keratoplasty (DALK) treated with a tissue-sparing surgical technique.
  
  
  METHODS
  A 35-year-old female patient underwent DALK in her OS because of stage IV keratoconus. The surgery was uneventful, and 3 months postoperatively, best-corrected visual acuity (BCVA) was 20/25. By the sixth postoperative month, a cystic iris lesion was noticed. The lesion grew progressively larger, and BCVA dropped to 20/63 in OS. Cyst excision was performed.
  
  
  RESULTS
  No complications possibly related to the surgery were observed. Two years later, BCVA was 20/25 in OS, and there were no signs of cyst recurrence. Histopathological examination of the lesion showed an epithelial implantation cyst.
  
  
  CONCLUSIONS
  An anterior chamber epithelial cyst is a sight-threatening condition that may occur after DALK. In selected cases, a conservative surgical approach is an effective treatment option, conveying excellent functional and anatomical outcomes.
authors.affiliation: *Department of Ophthalmology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; and †Faculty of Medicine, University of Coimbra, Coimbra, Portugal.
authors.forename: José F
authors.initials: JF
authors.lastname: Costa
authors.forename: Marco
authors.initials: M
authors.lastname: Rego
authors.forename: Andreia
authors.initials: A
authors.lastname: Rosa
authors.forename: Esmeralda
authors.initials: E
authors.lastname: Costa
authors.forename: Pedro
authors.initials: P
authors.lastname: Fonseca
authors.forename: Maria Luz
authors.initials: ML
authors.lastname: Cachulo
authors.forename: Júlia
authors.initials: J
authors.lastname: Veríssimo
authors.forename: Maria João
authors.initials: MJ
authors.lastname: Quadrado
authors.forename: Joaquim
authors.initials: J
authors.lastname: Murta
mesh_terms: D000328:Adult; D000867:Anterior Chamber / Q000473:pathology* / Q000601:surgery; D003228:Conjunctiva / Q000473:pathology*; D016039:Corneal Transplantation; D003560:Cysts / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004847:Epithelial Cells / Q000473:pathology; D005260:Female; D006801:Humans; D007499:Iris Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007640:Keratoconus / Q000601:surgery; D017075:Laser Coagulation; D033401:Microscopy, Acoustic; D013508:Ophthalmologic Surgical Procedures; D011183:Postoperative Complications; D014792:Visual Acuity / Q000502:physiology