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Primary iris stromal cyst with pseudohypopyon: an atypical presentation
  1. M GUPTA,
  2. P PURI,
  3. P RUNDLE,
  1. Eye Department, Royal Hallamshire Hospital
  2. Glossop Road, Sheffield S10 2JF, UK
  1. Mr Mohit Gupta

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Editor,—Primary iris stromal cysts usually present as asymptomatic cysts arising from the iris. Gradual enlargement of the cyst may lead to visual impairment and secondary glaucoma necessitating intervention.1-4 We report a case of iris stromal cyst in a girl with a pseudo- hypopyon.


A 14 year old girl was referred to the ocular oncology service with a 3 week history of haemorrhage on the left iris followed by a rapidly increasing lesion at the same site. There was no history of ocular trauma. The patient was medically fit and was not taking any systemic or topical medication.

Ocular examination revealed a visual acuity of 6/6 in the right eye and 6/9 in the left eye. The right eye showed no abnormality. Examination of the left eye showed a thin walled cystic lesion on the iris in the nasal …

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