Abstract
A 9-year-old girl presented to our hospital without a medical history. In the left eye, slit-lamp examination revealed that a dark brown spherical object (approximately 1.84 × 1.75 mm) was located at the inferior anterior chamber (Fig A). The 3-dimensional reconstruction showed that a free-floating “ball” could be clearly seen (Fig B). Anterior-segment OCT was performed to evaluate its position in relation to the iris (Fig C). She continues to be observed without further ocular sequela. Primary cysts of the iris pigment epithelium are uncommon, and stationary lesions rarely progress, which require no treatment (Magnified version of Fig A-C is available online at www.aaojournal.org).
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