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   Table of Contents      
OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 1  |  Page : 139-140

An eye within an eye


1 Department of Optometry, Medical Research Foundations, Sankara Nethralaya, Chennai, Tamil Nadu, India
2 Department of Uvea, Medical and Vision Research Foundations, Sankara Nethralaya, Chennai, Tamil Nadu, India
3 Department of Vitreoretina, Medical and Vision Research Foundations, Sankara Nethralaya, Chennai, Tamil Nadu, India

Date of Web Publication21-Dec-2018

Correspondence Address:
Dr. Parthopratim Dutta Majumder
Department of Uvea, Sankara Nethralaya, 18, College Road, Nungambakkam, Chennai - 600 006, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1135_18

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How to cite this article:
Magesan K, Majumder PD, Khetan V. An eye within an eye. Indian J Ophthalmol 2019;67:139-40

How to cite this URL:
Magesan K, Majumder PD, Khetan V. An eye within an eye. Indian J Ophthalmol [serial online] 2019 [cited 2019 Jan 17];67:139-40. Available from: http://www.ijo.in/text.asp?2019/67/1/139/248115



An 18-year-old asymptomatic male visited us for a regular eye check-up. His best corrected visual acuity was 20/20 in both eyes. Slit-lamp examination revealed quiet anterior chamber; clear crystalline lens in both eyes; and a spherical, translucent, mobile cyst in the inferior part of anterior chamber of the right eye [Figure 1]a. His intraocular pressure was 12 mm of Hg in both eye, and fundus examination of both the eyes was unremarkable. Anterior segment optical coherence tomography through the inferior cornea from 4 to 7 o'clock hours revealed a prodigious appearance of “An eye within an eye” [Figure 1]b. Iris cysts in children are uncommon and can pose significant diagnostic and treatment challenge to the treating ophthalmologists.[1] Unlike secondary iris cysts that follow surgical or nonsurgical trauma, primary iris cysts are stationary lesions, which rarely progress or lead to severe complications such as inflammation and glaucoma.[2],[3] Primary iris cyst in an asymptomatic child usually does not require any treatment, and unnecessary surgical intervention can lead to increased risk of operative complications during an amblyogenic age.[4]
Figure 1: (a) Slit-lamp photograph of the right eye showing a spherical, translucent, mobile cyst in the inferior part of anterior chamber. (b) Anterior segment optical coherence tomography through the inferior cornea from 4 to 7 o'clock hours giving an appearance of ‘An eye within an eye’ with iris cyst at the centre

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Shields CL, Kancherla S, Patel J, Vijayvargiya P, Suriano MM, Kolbus E, et al. Clinical survey of 3680 iris tumors based on patient age at presentation. Ophthalmology 2012;119:407-14.  Back to cited text no. 1
    
2.
Shields JA, Kline MW, Augsburger JJ. Primary iris cysts: A review of the literature and report of 62 cases. Br J Ophthalmol 1984;68:152-66.  Back to cited text no. 2
    
3.
Grutzmacher RD, Lindquist TD, Chittum ME, Bunt-Milam AH, Kalina RE. Congenital iris cysts. Br J Ophthalmol 1987;71:227-34.  Back to cited text no. 3
    
4.
Georgalas I, Petrou P, Papaconstantinou D, Brouzas D, Koutsandrea C, Kanakis M, et al. Iris cysts: A comprehensive review on diagnosis and treatment. Surv Ophthalmol 2018;63:347-64.  Back to cited text no. 4
    


    Figures

  [Figure 1]



 

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