Anterior Chamber Epithelial Cyst After Uneventful Deep Anterior Lamellar Keratoplasty

作者：Costa Jose F^*; Rego Marco; Rosa Andreia; Costa Esmeralda; Fonseca Pedro; Cachulo Maria Luz; Verissimo Julia; Quadrado Maria Joao; Murta Joaquim

来源：Cornea, 2016, 35(10): 1372-1374.

DOI：10.1097/ICO.0000000000000866

• deep anterior lamellar keratoplasty
• epithelial downgrowth
• iris cyst

Purpose:To report the case of an anterior chamber epithelial cyst after uncomplicated deep anterior lamellar keratoplasty (DALK) treated with a tissue-sparing surgical technique.Methods:A 35-year-old female patient underwent DALK in her OS because of stage IV keratoconus. The surgery was uneventful, and 3 months postoperatively, best-corrected visual acuity (BCVA) was 20/25. By the sixth postoperative month, a cystic iris lesion was noticed. The lesion grew progressively larger, and BCVA dropped to 20/63 in OS. Cyst excision was performed.Results:No complications possibly related to the surgery were observed. Two years later, BCVA was 20/25 in OS, and there were no signs of cyst recurrence. Histopathological examination of the lesion showed an epithelial implantation cyst.Conclusions:An anterior chamber epithelial cyst is a sight-threatening condition that may occur after DALK. In selected cases, a conservative surgical approach is an effective treatment option, conveying excellent functional and anatomical outcomes.

• 出版日期2016-10