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Treatment of anterior chamber epithelial inclusion cyst with intracystic tinted ethanol injection

Poster Details

First Author: S.Visaetsilpanonta THAILAND

Co Author(s):    D. Patikulsila   C. Visaetsilpanonta           

Abstract Details



Purpose:

To study the result of trypan-blue tinted 89% ethanol for treating anterior chamber epithelial inclusion cyst following cataract surgery.

Setting:

Department of Ophthalmology, Udonthani Hospital, Udonthani, Thailand.

Methods:

Interventional case report.

Results:

A 78-year-old man developed the anterior chamber inclusion cyst of the left eye 2 years after cataract surgery. He had experienced eye irritation and tearing for one week. After treating with topical corticosteroids and antibiotic for two weeks, the lesion was not regressed nor progressed. The operation was performed by filling viscoelastic in the anterior chamber and injecting trypan-blue tinted 89% ethanol into cystic cavity for 3 minutes and then removed. The cyst was seperated from posterior surface of the cornea by viscodissection and iridectomy was done. There was punctate epithelial erosion of cornea in the first week after the surgery. The involved cornea turned to be scar and the vision retained to his baseline visual acuity after cataract surgery without any recurrence after 6 month follow-up period.

Conclusions:

Tinted ethanol with trypan-blue helps visualization for leakage of ethanol into anterior chamber and appeared to be safe clinically for treating anterior chamber inclusion cyst. FINANCIAL INTEREST: NONE

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