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Spontaneous Regression Of An Anterior Chamber Cyst: A Case Report

Winthrop & Smith, 1981Other/Unknown

Annals of Ophthalmology 13(4): April 1981; 431-432

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Abstract

Cysts in the anterior chamber are relatively rare, and the natural course is usually a gradual increase in size over a period of years. They may remain stationary but rarely, if ever, regress. The purpose of this report is to document the spontaneous regression of an anterior chamber cyst in a 12-year-old boy over a three-month period. This case emphasizes the importance of a conservative approach to management of such cysts.

Case Details

Personal Characteristics

12-year-old boy

Clinical Characteristics

Slight redness and irritation of the right eye, vision was 20/25+ in both eyes, the right anterior chamber contained a cyst filled with clear fluid, a vascular pattern in the wall of the cyst was located in the superficial stroma of the iris extending into the angle inferiorly, slight injection of the conjunctiva, intraocular pressure was normal, a faint white scar was present in the area of the iris and cornea previously occupied by the cyst, synechiae to the anterior lens capsule, iris was no longer distorted, angle was free of any cystic change, eye was quiet, vision was 20/20, intraocular pressure normal

Remission Characteristics

The cyst had disappeared three months later

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Clinical Treatment

Observed without medication

Additional Notes

The patient had an elbow injury to the same eye five months previously. The injury was treated with drops by a school physician and good vision resulted. The patient has continued to do well over the ensuing 24 months with no recurrence of the cyst