Figure 3
From: Long-term outcomes of “open iridectomy” for secondary anterior chamber epithelial iris cysts
The therapeutic process of a 26-year-old female patient with an epithelial iris cyst and subsequent sheet-like ingrowth. (A) A recurrent cyst in the anterior chamber after congenital cataract surgery. (B) UBM showed the cyst in the iris and suspected sheet-like ingrowth in the opposite position (white arrow). (C) The cyst enlarged and contacted with the corneal endothelium after 5 months of follow-up. (D) Slit-lamp microscopic photograph after the cyst extraction. (E) A few stratified layers of the squamous epithelium with underlying pigment granules in the cyst wall (hematoxylin–eosin staining; bar = 20 microns). (F) Progressive sheet-like ingrowth was noticed in the nasal and inferior sides 4 years after the cyst extraction. (G) As-OCT demonstrated the sheet-like ingrowth was limited below the conjunctiva with no recurrence in the anterior chamber; cornea endothelial decompensation was noticed with the corneal thickness being 1130 μm. (H) Image at 10 months after epithelial sheet-like ingrowth resection and scleral transplantation. (I) Postoperative pathological results showed inflammatory hyperplasia of fibrous connective tissue; the black arrow indicates the inlayer cyst wall covered by a thin layer of the squamous epithelium (hematoxylin–eosin staining, bar = 50 microns).
