Spontaneous Rupture of an Iris Stromal Cyst

A 48-year-old man was referred for evaluation of an iris lesion (Fig 1A) in his left eye. His ocular history included ocular trauma in his left eye at age 8 resulting only in a brow laceration. On presentation, he was asymptomatic with 20/20 visual acuity. Ultrasound biomicroscopy revealed a 3-mm width  × 3.6-mm height iris stromal cyst (Fig 1B). Treatment options were discussed and he chose observation. It was stable at 3 months, but at the 6-month follow-up it had ruptured without trauma (Fig 1C) resulting in significant endothelial touch and decrease in size (3-mm width × 1.6-mm height) (F ig 1D).
Source: Ophthalmology - Category: Opthalmology Authors: Tags: Pictures & Perspectives Source Type: research