Dr.NEIWETE LOMI

, Dr.NEHA KUMARI

Abstract

Primary Iris cyst if not treated on time may cause visual obstruction leading to amblyopia or strabismus, further complicated with secondary glaucoma and corneal decompensation. We demonstrate two cases of primary iris pigment epithelial cyst successfully treated with the triple treatment therapy. Firstly, after coating the endothelium with visco-dispersive solution, the contents of the cyst is aspirated using 30G needle held in same position fixed in a three way cannula, followed by infusion with equal amount of mitomycin C 0.04% and was left in situ for 5 minutes and then rinsed out by infusion/aspiration of balanced salt solution. Secondly, excision of the anterior cyst wall with anterior vitrectomy cutter was done. Lastly, cauterising the posterior cyst wall with endodiathermy. Post-operatively at six months follow up, there was no recurrence, cornea is clear and IOP is within normal.