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Unilateral Intracorneal Primary Pigmented Iris Cyst in a Man Aged 34 Years

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A 34-year-old man presented with a pigmented limbal mass, measuring 3 × 3 mm in the left eye (Figure, A), first noted at 4 months of age. Since its onset, there was no history of ocular trauma or change in size or morphology of the lesion. Gonioscopic examination revealed herniation of iris tissue into the cornea, encased within the split corneal lamellae (Figure, A, inset) that was confirmed on anterior-segment optical coherence tomography (Figure, B). Despite its presence, the patient was asymptomatic, with a best-corrected visual acuity of 20/20 OS. The patient was regularly followed up and counseled owing to the potential risk of glaucoma development, albeit low.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Noopur Gupta, MS, PhD, Cornea, Cataract, and Refractive Surgery Services, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110029, India (noopurgupta@hotmail.com).

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient for granting permission to publish this information.

Reference
1.
Papastefanou  VP , Sagoo  MS .  Posttraumatic intracorneal iris herniation mimicking a pigmented limbal lesion.   JAMA Ophthalmol. 2020;138(2):e190557. doi:10.1001/jamaophthalmol.2019.0557PubMedGoogle ScholarCrossref
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