Endodiathermiegestützte Irisrekonstruktion nach Exzision einer rasch progredienten Iriszyste

Anamnese und Befund

Ein 11-jähriges Mädchen wurde uns zur Mitbeurteilung aufgrund einer Raumforderung der Iris überwiesen. Den Eltern sei vor ca. 3 Monaten ein Fleck am linken Auge aufgefallen, der seitdem gewachsen sei. Die eigene und Familienanamnese waren unauffällig und das Kind subjektiv beschwerdefrei.

Publication History

Received: 29 December 2023

Accepted: 03 March 2024

Article published online:
23 April 2024

• Literatur

• 1 Han LS, Meyer JJ. Iris Cyst. StatPearls [Internet]. Treasure Island (FL): Stat Pearls Publishing; 2024
• 2 Shields JA, Kline MW, Augsburger JJ. Primary iris cysts: a review of the literature and report of 62 cases. Br J Ophthalmol 1984; 68: 152-166
• 3 Shields CL, Kancherla S, Patel J. et al. Clinical survey of 3680 iris tumors based on patient age at presentation. Ophthalmology 2012; 119: 407-414
• 4 Lois N, Shields CL, Shields JA. et al. Primary cysts of the iris pigment epithelium. Clinical features and natural course in 234 patients. Ophthalmology 1998; 105: 1879-1885
• 5 Shields JA, Shields CL, Lois N. et al. Iris cysts in children: classification, incidence, and management. The 1998 Torrence A Makley Jr Lecture. Br J Ophthalmol 1999; 83: 334-338
• 6 Gupta V, Rao A, Sinha A. et al. Post-traumatic inclusion cysts of the iris: a longterm prospective case series. Acta Ophthalmol Scand 2007; 85: 893-896
• 7 Zimmerman TJ, Wheeler TM. Miotics: side effects and ways to avoid them. Ophthalmology 1982; 89: 76-80
• 8 Browning DJ, Perkins SL, Lark KK. Iris cyst secondary to latanoprost mimicking iris melanoma. Am J Ophthalmol 2003; 135: 419-421
• 9 Reddy CC, Gupta VP, Sarada P. et al. Ocular cysticercosis (a study of 15 cases). Indian J Ophthalmol 1980; 28: 69-72
• 10 Gentile RC, Liebmann JM, Tello C. et al. Ciliary body enlargement and cyst formation in uveitis. Br J Ophthalmol 1996; 80: 895-899
• 11 Rao A, Gupta V, Bhadange Y. et al. Iris cysts: a review. Semin Ophthalmol 2011; 26: 11-22
• 12 Criss JS, Shields CL, Materin MA. et al. Progressive enlargement of cavity within melanoma masquerading as iris cyst. Cornea 2006; 25: 863-865
• 13 Portnoy SL, Arffa RC, Johnson BL. et al. Metastatic renal cell carcinoma of the iris manifesting as an intrastromal iris cyst. Am J Ophthalmol 1991; 111: 113-114
• 14 Marigo FA, Finger PT, McCormick SA. et al. Anterior segment implantation cysts. Ultrasound biomicroscopy with histopathologic correlation. Arch Ophthalmol 1998; 116: 1569-1575
• 15 Zhang J, Demirci H, Shields CL. et al. Cavitary melanoma of ciliary body simulating a cyst. Arch Ophthalmol 2005; 123: 569-571
• 16 Pilling RF, Khan A, Ball JL. The utility of anterior segment optical coherence tomography in monitoring intraocular epithelial cysts in children: a mini case series. Br J Ophthalmol 2010; 94: 1265
• 17 Chin NB, Gold AA, Breinin GM. Iris cysts and miotics. Arch Ophthalmol 1964; 71: 611-616
• 18 Sugar J, Jampol LM, Goldberg MF. Argon laser destruction of anterior chamber implantation cysts. Ophthalmology 1985; 92: 306-307
• 19 Baranwal VK, Kumar S, Gaur S. et al. An uncommon case of primary iris cyst managed with Nd YAG laser. Med J Armed Forces India 2015; 71: S82-84
• 20 Behrouzi Z, Khodadoust A. Epithelial iris cyst treatment with intracystic ethanol irrigation. Ophthalmology 2003; 110: 1601-1605
• 21 Kawaguchi K, Yamamoto S, Nagae Y. et al. Treatment of recurrent giant iris cyst with intracyst administration of mitomycin C. Br J Ophthalmol 2000; 84: 800-801
• 22 Lan J, Liu T, Huang Y. et al. Long-term outcomes of “open iridectomy” for secondary anterior chamber epithelial iris cysts. Sci Rep 2021; 11: 16528
• 23 De Francesco T, Ma J, Ahmed IIK. Endothermal pupilloplasty to optimize pupil centration, size, and contour. J Cataract Refract Surg 2021; 47: e80-e83
• 24 Georgalas I, Petrou P, Papaconstantinou D. et al. Iris cysts: A comprehensive review on diagnosis and treatment. Surv Ophthalmol 2018; 63: 347-364