Delhi Journal of Ophthalmology

An Unusual Case Of Ruptured Post-Traumatic Iris Implantation Cyst With Co-Existent Anterior Chamber Cilia

1Chandana Chakraborti, 2Nabanita Barua, 1Sheuli Kumar, 3Anjan Kumar Das, 1Rosy Kahakashan Christi
1Department of Ophthalmology, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India
2Department of Ophthalmology, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
3Department of Pathology, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Chandana Chakraborti MS, DO
Associate Professor
Department of Ophthalmology, 
Calcutta National Medical College and Hospital
Kolkata, West Bengal, India
Email Id: cchakoptha@yahoo.com


Received: 28-JUN-2017 Accepted: 31-OCT-2017 Published Online: 03-MAR-2018
DOI: https://dx.doi.org/10.7869/djo.334

Abstract
A 13-year old boy reported with dimness of vision and whitish material inside the right eye since two weeks. There was history of injury with metallic wire in the same eye one and half years ago for which he received symptomatic treatment. He remained asymptomatic apart from mild redness in that eye occasionally. Visual acuity was 6/12 and 6/6 in the right and left eye respectively. A linear corneal scar was noted at the supero-temporal quadrant. Anterior chamber showed presence of whitish fluffy material, part of which was attached to the peripheral iris at 10-11 o’clock. A hair like foreign body was found at the bottom of the anterior chamber. The entire material was removed surgically along with the foreign body. The whitish material revealed small multiple hair like structures under the microscope. Histopathological examination showed eosinophilic acellular material with squam, suggestive of implantation dermoid. The foreign body was subsequently proven to be human hair after forensic evaluation. It was diagnosed as a case of ruptured iris implantation cyst with anterior chamber cilia.

Keywords :post traumatic iris cyst, anterior chamber cilia