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. 1984 Mar;68(3):152–166. doi: 10.1136/bjo.68.3.152

Primary iris cysts: a review of the literature and report of 62 cases.

J A Shields, M W Kline, J J Augsburger
PMCID: PMC1040279  PMID: 6696869

Abstract

The authors present their experience with the evaluation and follow-up of 62 patients with primary cysts of the iris, discuss their clinical and pathological features, and propose a simple classification for these lesions. The results suggest that the great majority of primary iris cysts, particularly those which arise from the iris pigment epithelial layers, are stationary lesions which rarely progress or cause visual complications. This finding is contradictory to the belief of certain authorities who stress that many such lesions lead to severe complications, with blindness and loss of the eye. The natural course of primary epithelial cysts differs from that of secondary iris cysts which follow surgical or nonsurgical trauma. The latter lesions do frequently enlarge and lead to severe complications such as inflammation and glaucoma. The major clinical importance of primary iris cysts lies in their similarity to neoplasms of the iris and ciliary body. It is concluded that the great majority of them are ophthalmic curiosities which require no treatment.

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Selected References

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  1. Bullock J. D. Developmental vitreous cysts. Arch Ophthalmol. 1974 Jan;91(1):83–84. doi: 10.1001/archopht.1974.03900060087019. [DOI] [PubMed] [Google Scholar]
  2. CHANDLER P. A., BRACONIER H. E. Spontaneous intra-epithelial cysts of iris and ciliary body with glaucoma. Am J Ophthalmol. 1958 Apr;45(4 Pt 2):64–74. doi: 10.1016/0002-9394(58)90224-1. [DOI] [PubMed] [Google Scholar]
  3. Cleasby G. W. Photocoagulation of iris-ciliary body epithelial cysts. Trans Am Acad Ophthalmol Otolaryngol. 1971 May-Jun;75(3):638–642. [PubMed] [Google Scholar]
  4. DAVIDSON S. I. Spontaneous cysts of the ciliary body. Br J Ophthalmol. 1960 Aug;44:461–466. doi: 10.1136/bjo.44.8.461. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Elkington A. R., Watson D. M. Mobile vitreous cysts. Br J Ophthalmol. 1974 Feb;58(2):103–104. doi: 10.1136/bjo.58.2.103. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Feman S. S., Straatsma B. R. Cyst of the posterior vitreous. Arch Ophthalmol. 1974 Apr;91(4):328–329. doi: 10.1001/archopht.1974.03900060338018. [DOI] [PubMed] [Google Scholar]
  7. Fine B. S. Free-floating pigmented cyst in the anterior chamber. A clinicohistopathologic report. Am J Ophthalmol. 1969 Apr;67(4):493–500. doi: 10.1016/0002-9394(69)94254-8. [DOI] [PubMed] [Google Scholar]
  8. GARRON L. K. Cysts of the iris, ciliary body, and retina that simulate malignant melanoma with retinal detachment. Trans Pac Coast Otoophthalmol Soc Annu Meet. 1953;34:125–136. [PubMed] [Google Scholar]
  9. GUERRY D., 3rd, WIESINGER H. Spontaneous cyst of the iris stroma. Am J Ophthalmol. 1957 Jul;44(1):106–107. doi: 10.1016/0002-9394(57)91962-1. [DOI] [PubMed] [Google Scholar]
  10. KLIEN B. A., TANNER G. S. Congenital epithelial cyst of the iris stroma. Am J Ophthalmol. 1963 Feb;55:291–295. doi: 10.1016/0002-9394(63)92685-0. [DOI] [PubMed] [Google Scholar]
  11. Kozart D. M., Scheie H. G. Spontaneous cysts of the ciliary epithelium. Trans Am Acad Ophthalmol Otolaryngol. 1970 May-Jun;74(3):534–547. [PubMed] [Google Scholar]
  12. MAKLEY T. A., Jr, KING G. L. Multiple cysts of the iris and ciliary body simulating a malignant melanoma. Trans Am Acad Ophthalmol Otolaryngol. 1958 May-Jun;62(3):441–443. [PubMed] [Google Scholar]
  13. Mullaney J., Fitzpatrick C. Idiopathic cyst of the iris stroma. Am J Ophthalmol. 1973 Jul;76(1):64–68. doi: 10.1016/0002-9394(73)90012-3. [DOI] [PubMed] [Google Scholar]
  14. Naumann G., Green W. R. Spontaneous nonpigmented iris cysts. Arch Ophthalmol. 1967 Oct;78(4):496–500. doi: 10.1001/archopht.1967.00980030498016. [DOI] [PubMed] [Google Scholar]
  15. REESE A. B. Spontaneous cysts of the ciliary body simulating neoplasms. Am J Ophthalmol. 1950 Nov;33(11):1738–1746. doi: 10.1016/0002-9394(50)90597-6. [DOI] [PubMed] [Google Scholar]
  16. REESE A. B. Spontaneous cysts of the ciliary body simulating neoplasms. Trans Am Ophthalmol Soc. 1949;47:138–146. [PMC free article] [PubMed] [Google Scholar]
  17. Roy F. H., Hanna C. Spontaneous congenital iris cyst. Am J Ophthalmol. 1971 Jul 30;72(1):97–108. doi: 10.1016/0002-9394(71)91596-0. [DOI] [PubMed] [Google Scholar]
  18. Rush J. A., Weinstein G. W., Meriwether W. A. Spontaneous nonpigmented iris cyst. Arch Ophthalmol. 1982 Feb;100(2):304–305. doi: 10.1001/archopht.1982.01030030306016. [DOI] [PubMed] [Google Scholar]
  19. SCHEIE H. G. Gonioscopy in the diagnosis of tumors of the iris and ciliary body, with emphasis on intraepithelial cysts. Trans Am Ophthalmol Soc. 1953;51:313–331. [PMC free article] [PubMed] [Google Scholar]
  20. Scarlett H. W. Cyst of the Vitreous: Report and Presentation of a Case. Trans Am Ophthalmol Soc. 1929;27:154–156. [PMC free article] [PubMed] [Google Scholar]
  21. Shields J. A. Primary cysts of the iris. Trans Am Ophthalmol Soc. 1981;79:771–809. [PMC free article] [PubMed] [Google Scholar]
  22. Shields J. A. Primary cysts of the iris. Trans Am Ophthalmol Soc. 1981;79:771–809. [PMC free article] [PubMed] [Google Scholar]
  23. Tansley J. O. Cyst of the vitreous. Trans Am Ophthalmol Soc. 1899;8:507–509. [PMC free article] [PubMed] [Google Scholar]
  24. VAIL D., MERZ E. H. Embryonic intraepithelial cyst of the ciliary processes. Trans Am Soc Ophthalmol Otolaryngol Allergy. 1951;49:167–183. [PubMed] [Google Scholar]
  25. WILSON W. IRIS CYST TREATED CY ELECTROLYSIS. Br J Ophthalmol. 1964 Jan;48:45–49. doi: 10.1136/bjo.48.1.45. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. YANOFF M., ZIMMERMAN L. E. PSEUDOMELANOMA OF ANTERIOR CHAMBER CAUSED BY IMPLANTATION OF IRIS PIGMENT EPITHELIUM. Arch Ophthalmol. 1965 Sep;74:302–305. doi: 10.1001/archopht.1965.00970040304003. [DOI] [PubMed] [Google Scholar]

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