Long-term outcomes of “open iridectomy” for secondary anterior chamber epithelial iris cysts

Abstract Epithelial cysts run a high risk of recurrence and conversion to sheet-like ingrowth after surgical intervention. In this retrospective study, we introduced a modified iridectomy for treatment of secondary epithelial iris cysts (EICs) in the anterior chamber. Twenty-nine patients (29 eyes)...

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Autores principales:	Jie Lan, Ting Liu, Yusen Huang, Xiaojing Pan, Yufen Wei, Pingzhong Xie, Qianqian Kong, Xiang Guo, Lixin Xie
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a4c72ff81a4e4585b577b18cd085db7e
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spelling	oai:doaj.org-article:a4c72ff81a4e4585b577b18cd085db7e2021-12-02T17:08:23ZLong-term outcomes of “open iridectomy” for secondary anterior chamber epithelial iris cysts10.1038/s41598-021-96012-42045-2322https://doaj.org/article/a4c72ff81a4e4585b577b18cd085db7e2021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96012-4https://doaj.org/toc/2045-2322Abstract Epithelial cysts run a high risk of recurrence and conversion to sheet-like ingrowth after surgical intervention. In this retrospective study, we introduced a modified iridectomy for treatment of secondary epithelial iris cysts (EICs) in the anterior chamber. Twenty-nine patients (29 eyes) aged 2–61 years received “open iridectomy” for EICs between April 1995 and July 2019. After viscodissection, most of the cyst wall was cut using a 20-gauge aspiration cutter via a 2.5-mm clear corneal incision. The residue closely adhering to the iris stroma was remained to avoid photophobia and diplopia. At 3 months, best corrected visual acuity was ≥ 20/100 in 55.5% (15/27, except two pediatric patients with poor cooperation) of patients. Among the eight patients suffering partial corneal edema preoperatively, six patients received surgery treatment at 3–6.5 months, and the cornea in the other two patients became transparent after medication. In a mean follow-up of 47.4 months, recurrence occurred in 3 patients at 7, 37, and 118 months, respectively. The percentage of treatment success was 96%, 87%, and 65% at 1, 5, and 10 years, respectively. “Open iridectomy” was effective for EICs, with a minimal invasion, less damage to the corneal endothelium, and a low recurrence rate.Jie LanTing LiuYusen HuangXiaojing PanYufen WeiPingzhong XieQianqian KongXiang GuoLixin XieNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jie Lan Ting Liu Yusen Huang Xiaojing Pan Yufen Wei Pingzhong Xie Qianqian Kong Xiang Guo Lixin Xie Long-term outcomes of “open iridectomy” for secondary anterior chamber epithelial iris cysts
description	Abstract Epithelial cysts run a high risk of recurrence and conversion to sheet-like ingrowth after surgical intervention. In this retrospective study, we introduced a modified iridectomy for treatment of secondary epithelial iris cysts (EICs) in the anterior chamber. Twenty-nine patients (29 eyes) aged 2–61 years received “open iridectomy” for EICs between April 1995 and July 2019. After viscodissection, most of the cyst wall was cut using a 20-gauge aspiration cutter via a 2.5-mm clear corneal incision. The residue closely adhering to the iris stroma was remained to avoid photophobia and diplopia. At 3 months, best corrected visual acuity was ≥ 20/100 in 55.5% (15/27, except two pediatric patients with poor cooperation) of patients. Among the eight patients suffering partial corneal edema preoperatively, six patients received surgery treatment at 3–6.5 months, and the cornea in the other two patients became transparent after medication. In a mean follow-up of 47.4 months, recurrence occurred in 3 patients at 7, 37, and 118 months, respectively. The percentage of treatment success was 96%, 87%, and 65% at 1, 5, and 10 years, respectively. “Open iridectomy” was effective for EICs, with a minimal invasion, less damage to the corneal endothelium, and a low recurrence rate.
format	article
author	Jie Lan Ting Liu Yusen Huang Xiaojing Pan Yufen Wei Pingzhong Xie Qianqian Kong Xiang Guo Lixin Xie
author_facet	Jie Lan Ting Liu Yusen Huang Xiaojing Pan Yufen Wei Pingzhong Xie Qianqian Kong Xiang Guo Lixin Xie
author_sort	Jie Lan
title	Long-term outcomes of “open iridectomy” for secondary anterior chamber epithelial iris cysts
title_short	Long-term outcomes of “open iridectomy” for secondary anterior chamber epithelial iris cysts
title_full	Long-term outcomes of “open iridectomy” for secondary anterior chamber epithelial iris cysts
title_fullStr	Long-term outcomes of “open iridectomy” for secondary anterior chamber epithelial iris cysts
title_full_unstemmed	Long-term outcomes of “open iridectomy” for secondary anterior chamber epithelial iris cysts
title_sort	long-term outcomes of “open iridectomy” for secondary anterior chamber epithelial iris cysts
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/a4c72ff81a4e4585b577b18cd085db7e
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Long-term outcomes of “open iridectomy” for secondary anterior chamber epithelial iris cysts

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