Minimally Invasive Management Of Pediatric Post-Traumatic Iris Cyst: A Case Report

Secondary iris cysts are rare post-traumatic lesions that can lead to severe ocular complications. This case reports the successful management of a symptomatic traumatic iris cyst in a pediatric patient using a manual expression technique without the use of sclerosing agents.

Ophthalmology Division of King Fahad University Hospital 

A 16-year-old male presented with a pigmented iris lesion in the left eye, three years after blunt football trauma. He had been chronically treated with topical prednisolone for one year. Examination revealed 20/20 vision and a mobile, inferior iris cyst attached by a strand, accompanied by pigmentary deposits on the anterior lens capsule.

Following a steroid taper, the patient underwent manual iris cyst expression (external drainage) without the use of sclerosing agents. Postoperatively, visual acuity was 20/25 on day one and returned to 20/20 by one week. At the five-month follow-up, intraocular pressure was stable and the anterior chamber remained clear.

Manual expression of a secondary iris cyst is a safe, minimally invasive primary treatment that avoids complications from sclerosing agents. While iritis was a notable part of this patient's initial post-traumatic history, this surgical approach achieved long-term resolution without recurrence.