Abstract

Purpose: To report a case of large peripheral iris cyst treated with Nd: YAG laser iridocystotomy. Method: A case report Result: A 45-year-old male suffered from progressive blurred vision of left eye for one month. There was no ptosis or any neurologic sign of the eyes. He came to our out patient department and a peripheral iris cyst was noted which measured about 5 mm×5 mm×2 mm in anterior chamber of left eye under the slit lamp examination. Other ocular examinations were within normal range. Due to the visual acuity getting worse rapidly, Nd: YAG laser iridocystotomy was arranged to relieve his symptoms. Argon laser was performed before Nd:Y AG laser to prevent post-Nd: YAG laser iridocystotomy hemorrhage. The visual acuity got dramatically improved and no recurrent iris cyst was found during 12 months follow-up. Conclusion: Nd: YAG laser iridocystotomy for peripheral iris cyst appears to provide effective and safe results during 12 months follow-up. Longer follow-up is needed to evaluate the recurrent condition but Nd: YAG laser iridocystotomy may be an alternative to conservative regimen if peripheral cyst is benign.

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