A Case Report of An Iris Epithelial Cyst Masquerading As Iris Cysticercosis. 2020

Abhishek Hoshing, and Rita Dhamankar, and Shabnam Tanwar, and Deepak Bhat
Laxmi Eye Institute, Uran Road, Panvel, Maharashtra, India.

BACKGROUND Iris cysts can be primary or secondary. It is common to mistake a parasitic cyst for a benign pigment epithelial cyst. However, we report a case where a benign cyst was mistaken for a parasitic cyst. METHODS A 50-year-old gentleman was seen in our OPD with gradual, progressive, painless diminution of vision in the right eye over past 5 Months. He was found to have a cystic lesion in the iris encroaching upon the pupil. METHODS Ultrasound biomicroscopy showed features characteristic of cysticercosis. In-toto excision of the cyst was done and was sent for histopathological examination. Histopathology failed to reveal features consistent with cysticercosis and instead showed characteristics of epithelial cyst of the iris. CONCLUSIONS Histopathological examination should be done for all cystic lesions of the iris to confirm diagnosis.

UI MeSH Term Description Entries
D007498 Iris The most anterior portion of the uveal layer, separating the anterior chamber from the posterior. It consists of two layers - the stroma and the pigmented epithelium. Color of the iris depends on the amount of melanin in the stroma on reflection from the pigmented epithelium.
D007499 Iris Diseases Diseases, dysfunctions, or disorders of or located in the iris. Disease, Iris,Diseases, Iris,Iris Disease
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D003551 Cysticercosis Infection with CYSTICERCUS, the larval form of the various tapeworms of the genus Taenia (usually T. solium in man). In humans they penetrate the intestinal wall and invade subcutaneous tissue, brain, eye, muscle, heart, liver, lung, and peritoneum. Brain involvement results in NEUROCYSTICERCOSIS. Coenuri Infection,Coenurosis,Coenurus Infection,Coenurus cerebralis Infection,Cysticercus cellulosae Infection,Taenia solium Cysticercosis,Coenuri Infections,Coenuroses,Coenurus Infections,Coenurus cerebralis Infections,Cysticercoses,Cysticercosis, Taenia solium,Cysticercus cellulosae Infections,Infection, Coenuri,Infection, Coenurus,Infection, Coenurus cerebralis,Infection, Cysticercus cellulosae,Taenia solium Cysticercoses
D003560 Cysts Any fluid-filled closed cavity or sac that is lined by an EPITHELIUM. Cysts can be of normal, abnormal, non-neoplastic, or neoplastic tissues. Cyst
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D033401 Microscopy, Acoustic A scientific tool based on ULTRASONOGRAPHY and used not only for the observation of microstructure in metalwork but also in living tissue. In biomedical application, the acoustic propagation speed in normal and abnormal tissues can be quantified to distinguish their tissue elasticity and other properties. Acoustic Microscopy,Microscopy, Scanning Acoustic,Scanning Acoustic Microscopy,Ultrasonic Biomicroscopy,Ultrasonographic Biomicroscopy,Ultrasound Biomicroscopy,Acoustic Microscopies,Acoustic Microscopies, Scanning,Acoustic Microscopy, Scanning,Biomicroscopies, Ultrasonic,Biomicroscopies, Ultrasonographic,Biomicroscopies, Ultrasound,Biomicroscopy, Ultrasonic,Biomicroscopy, Ultrasonographic,Biomicroscopy, Ultrasound,Microscopies, Acoustic,Microscopies, Scanning Acoustic,Scanning Acoustic Microscopies,Ultrasonic Biomicroscopies,Ultrasonographic Biomicroscopies,Ultrasound Biomicroscopies

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