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Anterior chamber epithelial cysts are manageable, surgeon says

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BALTIMORE — Anterior chamber epithelial cysts can be managed conservatively with good results in some cases, according to one surgeon. She said conservative management may be particularly useful for pediatric patients, where preserving the lens, iris and other structures may help manage amblyopia.

Julia Haller, MD, reviewed the charts of patients treated by a single surgeon for epithelial ingrowth over a 10-year period. Seven eyes with epithelial cysts were identified. Patient’s age ranged from 18 months to 53 years, with four pediatric patients.

Three eyes were treated with vitrectomy, en bloc resection of the cyst and associated tissue, fluid-air exchange and cryotherapy. Three eyes were treated with cyst aspiration and one with local excision. These four eyes also underwent endolaser photocoagulation of the collapsed cyst wall and base.

Final visual acuity ranged from 20/20 to hand motions, depending on associated ocular damage. Best-corrected visual results were obtained in the more conservatively managed eyes.

The study is published in the March issue of American Journal of Ophthalmology.