J Korean Ophthalmol Soc > Volume 59(5); 2018 > Article
Journal of the Korean Ophthalmological Society 2018;59(5):491-495.
DOI: https://doi.org/10.3341/jkos.2018.59.5.491    Published online May 15, 2018.
A Case of Spontaneous Recovery of an Iris Cyst in a Patient with Peritoneal Tuberculosis.
Yo Sep Yoon, Seunghwan Lee, Jung Kee Min, Chang Kyu Lee
Department of Ophthalmology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. coolleo7@naver.com
복막결핵 환자에서 발생한 합병증을 유발한 홍채낭종의 자발적 회복 1예
윤요셉⋅이승환⋅민정기⋅이창규
울산대학교 의과대학 울산대학교병원 안과학교실
Correspondence:  Chang Kyu Lee,
Email: coolleo7@naver.com
Received: 21 December 2017   • Revised: 11 February 2018   • Accepted: 19 April 2018
Abstract
PURPOSE
We report a case of spontaneous recovery of an iris cyst with only tuberculosis medication and conservative eye drops when uveitis and angle closure occurred because of a cyst in a patient with peritoneal tuberculosis. CASE SUMMARY: A 49-year-old female who was diagnosed with iritis and treated with steroid eye drops visited our clinic because of decreased visual acuity 1 month prior. There were anterior chamber inflammation cells and an iris cyst completely obstructing the anterior chamber at 12 o'clock. At the time, the patient had been diagnosed with peritoneal tuberculosis in the Department of Internal Medicine and Gynecology and had been treated with surgery and medication. The patient had no past history of glaucoma, but when the iris cyst developed, the intraocular pressure increased to 29 mmHg and anterior inflammatory cells were seen in the range of +1 to +2. The primary lesion of tuberculosis improved and the iris cyst disappeared with treatments involving medication for tuberculosis, steroid eye drops, and glaucoma eye drops, without invasive treatments such as alcohol curettage, laser treatment, or cyst resection. CONCLUSIONS: If an iris cyst is a new lesion of the eye, it is necessary to identify the pattern and cause of the iris cyst first, and if a secondary benign iris cyst is suspected, the primary treatment of the causative disease is necessary rather than prompt invasive treatment.
Key Words: Glaucoma;Iris cyst;Tuberculosis


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