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Br J Ophthalmol 2008;92:911 doi:10.1136/bjo.2007.131128
  • Video Report

Free floating cyst in anterior chamber after cataract surgery

  1. J B N S Malta1,2,
  2. M Banitt1,
  3. H K Soong1
  1. 1
    W K Kellogg Eye Center, University of Michigan Medical School, Ann Arbor, MI, USA
  2. 2
    Department of Ophthalmology, Santa Casa de Misericordia de São Paulo, Brazil
  1. Dr J B N S Malta, W K Kellogg Eye Center, 1000 Wall Street, Ann Arbor, MI 48105, USA; jbmalta{at}med.umich.edu

    ABSTRACT

    We describe a free-floating cyst in the anterior chamber after cataract surgery in a 73-year-old woman who underwent uneventful phacoemulsification in her right eye (OD). The best-corrected visual acuity one week after surgery was 20/20 OD; however, six weeks later, she noted the onset of intermittent “shadows” in this eye whenever she changed head position. Slit lamp examination showed a round, free-floating, clear cyst (3–4 mm in diameter) that traversed the central visual axis during eye movement. The cyst was removed through a limbal incision, by expressing it gently out of the eye with viscoelastic injection into the anterior chamber. On pathological examination the inner wall of the cyst was lined with non-keratinised squamous epithelium, typical of ocular surface cells.

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    http://bjo.bmj.com/cgi/content/full/92/7/911/DC1

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