Abstract
A 22-year-old man was referred for gradually impaired vision in his left eye. The affected eye had a history of traumatic ruptured cornea with a primary repair 2 years ago and then a cataract surgery 6 months later. At presentation, a large whitish iris mass was seen on the superior part of the iris involving the visual axis in the affected eye. The anterior segment optical coherence tomography revealed an iris cyst with solid contents. The entire cyst was removed surgically. The histological finding was consistent with an iris cyst lined by stratified squamous epithelium. At 1-year postoperatively, there was no sign of recurrence. Secondary iris cyst, from epithelial downgrowth, which occurs after trauma and cataract surgery, can atypically masquerade as an iris tumor. Surgical removal is indicated if the vision is threatened and to provide a definite histopathological diagnosis.
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