title: Free-Floating, Pigmented Cysts in the Anterior Chamber Causing Ocular Hypertension.
abstract: OBJECTIVE
  The aim of this study was to describe the clinical and histopathological features of a 36-year-old male with hundreds of recurrent, unilateral, free-floating, pigmented cysts in the anterior chamber causing ocular hypertension.
  
  
  METHODS
  The patient was referred to ocular oncology for blurry vision of the right eye and was found to have myriad pigmented, free-floating cysts in the anterior chamber and heavy pigmentation of the angle on gonioscopy. Anterior chamber washout was performed, and the fluid recovered was sent for pathological analysis.
  
  
  RESULTS
  The pathology report demonstrated rare nonpigmented epithelial cells, more consistent with iris stromal cysts or secondary implantation epithelial cysts.
  
  
  CONCLUSIONS
  This paper highlights the first documented case of innumerable spontaneously occurring, unilateral, free-floating, pigmented cysts in the anterior chamber. While clinical diagnosis suggested iris pigment epithelial cysts, pathology suggested iris stromal cysts or secondary implantation epithelial cysts.
authors.affiliation: Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Conn., USA.
authors.forename: Jessica S
authors.initials: JS
authors.lastname: Maslin
authors.affiliation: Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Conn., USA.
authors.forename: Christopher C
authors.initials: CC
authors.lastname: Teng
authors.affiliation: Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Conn., USA.
authors.forename: Miguel
authors.initials: M
authors.lastname: Materin
keywords: Free-floating cysts; Iris pigment epithelial cysts; Ocular hypertension