title: Strategies for the Management of Congenital Iris Cysts.
abstract: 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. A2.5-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. A13-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.
authors.affiliation: Department of Ophthalmology, The Children's Hospital, Westmead, Sydney, New South Wales, Australia.
authors.forename: Shabana
authors.initials: S
authors.lastname: Chaudhry
authors.affiliation: Department of Eye, Combined Military Hospital, Kharian, Pakistan.
authors.forename: Khawaja Khalid
authors.initials: KK
authors.lastname: Shoaib
authors.affiliation: Department of Ophthalmology, The Children's Hospital, Westmead, Sydney, New South Wales, Australia.
authors.forename: Stephen
authors.initials: S
authors.lastname: Hing
authors.affiliation: Department of Ophthalmology, The Children's Hospital, Westmead, Sydney, New South Wales, Australia.
authors.forename: James
authors.initials: J
authors.lastname: Smith
mesh_terms: D003560:Cysts / Q000151:congenital* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007499:Iris Diseases / Q000151:congenital* / Q000473:pathology / Q000601:surgery; D008297:Male; D012597:Sclerosing Solutions; D016896:Treatment Outcome
chemical_list: D012597:Sclerosing Solutions