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CLINICAL IMAGES
Year : 2013  |  Volume : 137  |  Issue : 6  |  Page : 1211

Recurrent iris cyst following pencil tip injury


Sri Sankaradeva Nethralaya 96 Basistha Road Guwahati 781 028, Assam, India

Date of Web Publication4-Jul-2013

Correspondence Address:
Harsha Bhattacharjee
Sri Sankaradeva Nethralaya 96 Basistha Road Guwahati 781 028, Assam
India
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Source of Support: None, Conflict of Interest: None


PMID: 23852307

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How to cite this article:
Bhattacharjee H, Das D. Recurrent iris cyst following pencil tip injury. Indian J Med Res 2013;137:1211

How to cite this URL:
Bhattacharjee H, Das D. Recurrent iris cyst following pencil tip injury. Indian J Med Res [serial online] 2013 [cited 2020 Jan 18];137:1211. Available from: http://www.ijmr.org.in/text.asp?2013/137/6/1211/114398

A 10 year old boy presented to Sri Sankaradeva Nethralaya, Guwahati, Assam, India, with history of injury with pencil tip in the right eye one month back and developed photophobia thereafter. Parents suspected retention of the broken pencil tip inside the eye. Slit lamp biomicroscopy revealed a transilluminant iris cyst on medial aspect of iris [Figure 1], arrows). The cyst was excised twice but it recurred. On second recurrence, partial cyclectomy was done and in five years of post-operative follow up from March 2008 to November 2012 no recurrence was noted.
Figure 1: Slit lamp biomicroscopy showing a transillu minant iris cyst on medial aspect of iris (arrows), Diffraction cytology

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Diffraction cytology [Figure 2] and histopathological examination with Hematoxylin and Eosin stain of the excised tissue [Figure 3] showed presence of a foreign body (arrow in [Figure 2] and [Figure 3] × 200) suggesting that recurrence of iris cyst was a sequelae of retained pencil tip in the uveal tissue.

No further treatment was done as there was no reoccurrence and the pencil tip which was retained in the uveal tissue was removed by cyclectomy. The patients is under regular follow up.
Figure 2: Slit lamp biomicroscopy showing a transillu minant iris cyst on medial aspect of iris (arrows), histopathological examination with Haematoxylin and Eosin stain of the excised tissue

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Figure 3: Slit lamp biomicroscopy showing a transillu minant iris cyst on medial aspect of iris (arrows), showing presence of a foreign body (arrow in Figs 2 and 3×200)

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    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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